DIANE GARRIS (NPI# 1174174866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174174866 |
| Entity Type | Individual |
| Full Name | DIANE GARRIS |
| Practice Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 7049391100 |
| Practice Fax Number | 7049391173 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
279402 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003179102 | Diane Garris | Massage Therapist | 16825 48th Ave W, Suite 330, Lynnwood, WA 98037-6401 | 2012-06-22 |
| Street Address |
284 EXECUTIVE PARK DR STE 100 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568439446 | Betsy G Karas | Counselor | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2006-03-01 |
| 1497360234 | Aaron Kyle Yearwood | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2020-09-09 |
| 1669098984 | Samantha Bramwell Samson | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2020-06-23 |
| 1558904672 | Shinia W Carter | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-10-21 |
| 1750942322 | Alexander Stofanik | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-06-25 |
| 1124687058 | Kenyetta Lovelee Cooper | Counselor | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-06-13 |
| 1346708658 | Lawrence Clark | Counselor | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-03-05 |
| 1134685845 | Marketta Irene Ray | Counselor | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-02-18 |
| 1902370216 | Charles Hardy Iv | Licensed Practical Nurse | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-01-20 |
| 1659856409 | Marilyn R Nixon | Licensed Practical Nurse | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366937542 | Christiana O Thomas | Clinical Nurse Specialist | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2018-06-29 |
| 1306346010 | Jessica Marie Morrissey | Clinical Nurse Specialist | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2018-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023393410 | Cathy Showfety Inc. | Clinical Nurse Specialist | 408 1/2 State St, Greensboro, NC 27405-5657 | 2011-10-17 |
| 1699078246 | Mary Lynn Piven | Clinical Nurse Specialist | 365 Highway 87 N, Pittsboro, NC 27312 | 2010-12-20 |
| 1316130990 | Kelly L Smedley | Clinical Nurse Specialist | 5318 Highgate Dr Ste 231, Durham, NC 27713-6631 | 2007-08-27 |
| 1922210558 | William Garrett Stone | Clinical Nurse Specialist | 309 W Weaver St, Suite 200, Carrboro, NC 27510-6005 | 2007-05-04 |
| 1609992007 | Carol Faye Peindl | Clinical Nurse Specialist | 12617 Kencot Ct, Huntersville, NC 28078-5715 | 2007-03-21 |
| 1679667133 | Deborah Herring Perry | Clinical Nurse Specialist | 208 Malloy Street, Unit E, Goldsboro, NC 27534 | 2006-10-02 |
| 1154374478 | Bonnie Kennedy | Clinical Nurse Specialist | 3518 Drawbridge Pkwy, Greensboro, NC 27410-8432 | 2006-05-18 |
| 1730152620 | Marianne Mciver | Clinical Nurse Specialist | 234 E Raleigh St, Siler City, NC 27344-3416 | 2006-02-10 |
| 1194335224 | Teresa Lorraine Fuller | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-08-04 |
| 1699398529 | Gina Bourne | Clinical Nurse Specialist | 227 N Main St Ste A, Troy, NC 27371-3059 | 2020-05-27 |
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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.