DEANNA POULK (NPI# 1154614261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154614261 |
| Entity Type | Individual |
| Full Name | DEANNA POULK |
| Credential | RN |
| Practice Address |
2029 Valleygate Dr Ste 101 Fayetteville NC 28304-3772 |
| Practice Telephone | 9103232103 |
| Practice Fax Number | 9103232219 |
| Mailing Telephone | 9103232103 |
| Mailing Fax Number | 9103232219 |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 237626 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NURSES LICENSE | 237626 | 01 |
| Street Address |
2029 VALLEYGATE DR STE 101 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073758496 | Terri Crews | Nurse's Aide | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3688 | 2008-12-15 |
| 1346508884 | Sharon West | Nurse's Aide | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3772 | 2012-05-02 |
| 1760775027 | Casandra K Higginbotham | Registered Nurse | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3772 | 2011-05-19 |
| 1558660191 | Mary Catherine Taylor | Licensed Practical Nurse | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3772 | 2011-03-22 |
| 1669787008 | Lekimbra Brown | Registered Nurse | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3688 | 2010-08-10 |
| 1003132150 | Colette Smolinski | Nurse's Aide | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3688 | 2010-04-14 |
| 1831422146 | Kathryn Fansler | Registered Nurse | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3688 | 2009-09-18 |
| 1548593825 | Tonya Brewer | Nurse's Aide | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3688 | 2009-09-17 |
| 1740411594 | Debra Holland Perkins | Registered Nurse | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3688 | 2009-07-28 |
| 1609005792 | Stefanie Stellfox Ewert | Registered Nurse | 2029 Valleygate Dr Ste 101, Fayetteville, NC 28304-3688 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093322521 | Madeleine Renee Richardson | Registered Nurse | 710 Marketview Ct, Fayetteville, NC 28301-4868 | 2020-09-29 |
| 1710525142 | Joseph Bulone | Registered Nurse | 5118 Shiraz Ln, Fayetteville, NY 13066-2572 | 2019-12-17 |
| 1104479872 | Shandra Smith Mitchell | Registered Nurse | 1020 Pine Hill Rd, Fayetteville, NC 28305-4843 | 2019-07-22 |
| 1124584958 | Kelly C Hey | Registered Nurse | 109 Wellwood Dr, Fayetteville, NY 13066-2352 | 2019-02-18 |
| 1588137764 | Leandra Lynette Davidson | Registered Nurse | 3201 Rouse Dr, Fayetteville, NC 28306-8324 | 2019-01-09 |
| 1700371820 | Suzanne Chick | Registered Nurse | 550 Warren St Apt 15d, Fayetteville, NY 13066-2166 | 2018-06-30 |
| 1386139285 | David Porter | Registered Nurse | 4000 Medical Center Dr Ste 502, Fayetteville, NY 13066-6631 | 2018-06-25 |
| 1457876179 | Jeffrey P Collins | Registered Nurse | 18 Ely Dr, Fayetteville, NY 13066-1002 | 2017-08-03 |
| 1437686847 | Tamela Thomas | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2017-05-16 |
| 1568909661 | Tameka Andrea Walker | Registered Nurse | 3035a Boone Trail, Fayetteville, NC 28304 | 2017-01-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.