MRS. CATHERINE JANELL TEWOLDE (NPI# 1194854778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194854778 |
| Entity Type | Individual |
| Full Name | MRS. CATHERINE JANELL TEWOLDE |
| Credential | CNP |
| Practice Address |
332 Sam Newell Rd Matthews NC 28105-6566 |
| Mailing Address |
8521 Tonawanda Dr Charlotte NC 28277-1802 |
| Practice Telephone | 7043028583 |
| Practice Fax Number | 7043028548 |
| Mailing Telephone | 7046681555 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2015-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5003379 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP1296 | 05 | |
| NC | 7004477 | 05 |
| Street Address |
332 SAM NEWELL RD |
| City | MATTHEWS |
| State | NC |
| Zip Code | 28105-6566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124096953 | Kevyn Miller | Physician Assistant | 332 Sam Newell Rd, Suite 1100, Matthews, NC 28105-6566 | 2006-03-09 |
| 1770859126 | Charlotte Mecklenburg Hospital Authority | Internal Medicine | 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 | 2012-03-30 |
| 1346547809 | Carolinas Medical Center | Physical Medicine & Rehabilitation | 332 Sam Newell Rd, Suite 1200, Matthews, NC 28105-6566 | 2011-02-18 |
| 1699085605 | Carolinas Physicians Network Inc | Family Medicine | 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 | 2010-10-13 |
| 1710202163 | Mecklenburg Medical Group | Internal Medicine | 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 | 2010-03-29 |
| 1568561330 | Leigh Sullivan Clavin | Pharmacist | 332 Sam Newell Rd, Matthews, NC 28105 | 2006-09-21 |
| 1790709210 | John E. Davenport | Internal Medicine | 332 Sam Newell Rd, Suite 2000, Matthews, NC 28105-6566 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917407 | Lauren Deasy Blackshaw | Counselor | 1163 Sam Newell Rd, Matthews, NC 28105 | 2020-03-13 |
| 1912549643 | Monarch | Community/Behavioral Health | 10545 Paces Avenue 634, Matthews, NC 28105 | 2019-10-15 |
| 1326515768 | Holly Harvey Heddleson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 | 2018-10-24 |
| 1396241030 | Erickson Health Medical Group of North Carolina, PC | Internal Medicine | 2030 Windsor Run Lane, Matthews, NC 28105 | 2018-04-02 |
| 1811406994 | Lice Clinics of America of The Carolinas | Technician, Other | 3042 Suite C Senna Dr, Matthews, NC 28105 | 2017-09-21 |
| 1376065003 | Carillon Assisted Living of Mint Hill, LLC | Custodial Care Facility | 5601 Margaret Wallace Road, Matthews, NC 28105 | 2017-07-14 |
| 1568906055 | London Young | Physical Therapy Assistant | 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 | 2016-12-19 |
| 1003363128 | New Beginnings Community Counseling Center | Community/Behavioral Health | 5232 Maragaret Wallace Road, Matthews, NC 28105 | 2016-09-07 |
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1205219896 | Kalyani Vellanki Starr | Dentist | 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 | 2015-07-01 |
| Find all providers in zip 28105 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275993149 | Kristi Dougan | Nurse Practitioner | 434 N Trade St Ste 104, Matthews, NC 28105 | 2016-03-04 |
| 1376974576 | Nichole Irish | Nurse Practitioner | 1254 Mann Dr Ste 100, Matthews, NC 28105-5545 | 2013-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260451 | Jo Ellen Inman-puckett | Nurse Practitioner | 31 Swiss Pine Ct, Spruce Pine, NC 28777-8704 | 2020-09-16 |
| 1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
| 1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
| 1255959573 | Kathryn Allman | Nurse Practitioner | 104 Brighton Ct, Chapel Hill, NC 27516-9005 | 2020-07-13 |
| 1326665142 | Mary Ann Todd | Nurse Practitioner | 5508 7 Lks W, West End, NC 27376-9336 | 2020-06-27 |
| 1538785118 | Amanda S. Morgan | Nurse Practitioner | 600 Hospital Dr Ste 9, Clyde, NC 28721-8046 | 2020-06-19 |
| 1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
| 1265055271 | Pamela Duncan | Nurse Practitioner | 120 N Medical Dr Unc-ch Son: Carrington Hall, Chapel Hill, NC 27599-7460 | 2020-05-26 |
| 1689297715 | Heather Bryce Futrell | Nurse Practitioner | 115 Joe Kanaris Rd, Rockingham, NC 28379-8063 | 2020-05-23 |
| 1871116103 | Lynn Chanell Hicks | Nurse Practitioner | 3221 Nontucket Ln, Hope Mills, NC 28348-9054 | 2020-05-20 |
| 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.