DR. CARISSA BAIN (NPI# 1194085399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194085399 |
| Entity Type | Individual |
| Full Name | DR. CARISSA BAIN |
| Credential | M.D |
| Practice Address |
246 Regimental Dr Cameron NC 28326-5508 |
| Practice Telephone | 4074562150 |
| Mailing Telephone | 4074562150 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
246 REGIMENTAL DR |
| City | CAMERON |
| State | NC |
| Zip Code | 28326-5508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447879903 | Christapher Frank | Nurse Practitioner | 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 | 2020-04-14 |
| 1649825308 | Marisol Lopez | Dentist | 468 Nc Highway 24-87, Cameron, NC 28326 | 2019-08-08 |
| 1033676671 | Amanda Sue Vakos | Behavior Technician | 169 Mattie Haddock Dr, Cameron, NC 28326 | 2019-03-01 |
| 1518475607 | Mirinda Cossel | Assistant Behavior Analyst | 1477 Nc 87, Cameron, NC 28326 | 2018-01-11 |
| 1366961021 | Thomas Peper | Optometrist | 18 Biltmore Ln, Cameron, NC 28326 | 2017-09-13 |
| 1801312020 | Judith Lee Keeney | Behavioral Analyst | 185 Mittie Haddock Drive, Cameron, NC 28326 | 2017-08-18 |
| 1013455864 | Rita Mashburn | Pharmacist | 2800 Nc Hwy 24-87, Cameron, NC 28326 | 2017-02-01 |
| 1578951042 | Womack Army Medical Center | Clinic/Center | 55 Centennial Parkway, Cameron, NC 28326 | 2015-01-06 |
| 1699178897 | Buffalo Lake Medical Pllc | Physician Assistant | 181 Mittie Haddock, Cameron, NC 28326 | 2014-10-01 |
| 1629487137 | Raymond J. Tseng Dds, Phd, I, Pa | Dentist | 1520 Nc Highway 24/87, Cameron, NC 28326 | 2014-08-08 |
| Find all providers in zip 28326 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386829 | Rachel Myrah Wallace | Student in an Organized Health Care Education/Training Program | 185 Doby Rd, Cameron, NC 28326-8185 | 2020-11-04 |
| 1245763473 | Morgan Stefanik | Student in an Organized Health Care Education/Training Program | 4448 County Route 21, Cameron, NY 14819-9729 | 2017-04-05 |
| 1194175380 | Taylor Marie Padgett | Student in an Organized Health Care Education/Training Program | 54 Parade Farm Ln, Cameron, SC 29030-8479 | 2016-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1487255378 | Frank Patterson Fairley Jr. | Student in an Organized Health Care Education/Training Program | 3006 Lawndale Dr Apt F, Greensboro, NC 27408-3450 | 2020-11-05 |
| 1518568013 | Ashley Nicole Gwyn | Student in an Organized Health Care Education/Training Program | 2021 Frank Rd, Asheboro, NC 27205-1381 | 2020-11-03 |
| 1427659747 | Lakisha Henry-simmons | Student in an Organized Health Care Education/Training Program | 4298 Falcon Rd, Winston Salem, NC 27106-9425 | 2020-11-03 |
| 1801496377 | Meghan Emily Hileman | Student in an Organized Health Care Education/Training Program | 321 S Columbia St # 7121, Chapel Hill, NC 27514-4309 | 2020-10-26 |
| 1689273146 | Jennifer French | Student in an Organized Health Care Education/Training Program | 4818 Hickory Woods Dr, Greensboro, NC 27410-9161 | 2020-10-25 |
| 1417555863 | Jessica Gage Thomas | Student in an Organized Health Care Education/Training Program | 100 Stratford Lakes Dr Unit 221, Durham, NC 27713-3479 | 2020-10-16 |
| 1649878273 | Rachel Elizabeth Corak | Student in an Organized Health Care Education/Training Program | 7176 Blackmoor Rd, Kernersville, NC 27284-8614 | 2020-10-15 |
| 1598363541 | Walter Carl Credle Iv | Student in an Organized Health Care Education/Training Program | 825 Park Center Dr Apt 305, Matthews, NC 28105-5044 | 2020-10-13 |
| 1518565563 | Hanna Kreinbrink | Student in an Organized Health Care Education/Training Program | 365 Darlington Ave Unit 303, Wilmington, NC 28403-1371 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.