KATHY ANN LEVY (NPI# 1174577092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174577092 |
Entity Type | Individual |
Full Name | KATHY ANN LEVY |
Other Name | MISS KATHY ANN CUNDIFF |
Credential | GNP |
Practice Address |
3069 Trenwest Dr Ste 200 Winston Salem NC 27103-3211 |
Practice Telephone | 3369933146 |
Practice Fax Number | 3369923930 |
Mailing Telephone | 3369933146 |
Mailing Fax Number | 3369923930 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2014-05-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
52729 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
600128 | NC | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | DEA | ML0809600 | 01 |
NC | BCBS | 1855N | 01 |
NC | MED LIC | 600128 | 01 |
Street Address |
3069 TRENWEST DR STE 200 |
City | WINSTON SALEM |
State | NC |
Zip Code | 27103-3211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265875017 | Andrew Kenneth Matrone | Nurse Practitioner | 3069 Trenwest Dr, Ste. 200, Winston Salem, NC 27103-3211 | 2013-04-11 |
1144575929 | Cardinal Health Services, PC | Clinic/Center | 3069 Trenwest Dr, Ste 200, Winston Salem, NC 27103-3211 | 2012-07-18 |
1083899009 | Physicians Home Visits, PC | Family Medicine | 3069 Trenwest Dr, Ste 200, Winston Salem, NC 27103-3211 | 2008-01-09 |
1194916734 | Maureen Jean Lamont | Nurse Practitioner | 3069 Trenwest Dr, Ste 200, Winston Salem, NC 27103-3211 | 2007-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
Find all providers in zip 27103 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417592080 | Lee Yarber | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-11-07 |
1669015202 | Allona Frazier | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-10-28 |
1265950315 | Alexandra Nixon | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106 | 2017-09-08 |
1316321284 | Jennifer Trumble | Nurse Practitioner | 1 Medical Center Blvd, Transitional and Supportive Care, Winston Salem, NC 27157-0001 | 2015-07-10 |
1679813240 | Rachel Patricia Zimmer | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-02-19 |
1932366077 | Syna Nmn Barber | Nurse Practitioner | 380 Knollwood St # 505, Winston Salem, NC 27103-1884 | 2008-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
1649896150 | Richard Kral | Nurse Practitioner | 1697 Tellico Rd, Franklin, NC 28734-5955 | 2020-06-20 |
1194352963 | Tracy Shabu | Nurse Practitioner | 714 Windy Peak Loop, Cary, NC 27519-1886 | 2020-03-23 |
1871133850 | Stephanie M Canipe | Nurse Practitioner | 802 Woodmoore Ln, Kannapolis, NC 28081-5700 | 2020-01-08 |
1013551076 | Michelle Lowery | Nurse Practitioner | 805 E Peach St, Rowland, NC 28383-8613 | 2019-11-03 |
1629533146 | Kathy Parker Farley | Nurse Practitioner | 69 Darlington Dr, Broadway, NC 27505-9558 | 2019-02-08 |
1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
1619472057 | Allyson Michele Baxter | Nurse Practitioner | 112 W Fire Tower Rd, Winterville, NC 28590-9475 | 2018-03-27 |
1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
1467970160 | Melissa Muller Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 | 2017-09-01 |
Find all providers with the same taxonomy |
City | WINSTON SALEM |
Zip Code | 27103 |
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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.