CAROL WOMBLE (NPI# 1205914512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205914512 |
| Entity Type | Individual |
| Full Name | CAROL WOMBLE |
| Credential | FNP |
| Practice Address |
6161 Lake Brandt Rd Greensboro NC 27455-8414 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 3366435800 |
| Practice Fax Number | 3366437474 |
| Mailing Telephone | 3366435800 |
| Mailing Fax Number | 3366437474 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2013-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 201015 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
000201015 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7005697 | 05 |
| Street Address |
6161 LAKE BRANDT RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455-8414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124043310 | Michael C Badger | Family Medicine | 6161 Lake Brandt Rd, Greensboro, NC 27455-8414 | 2006-07-12 |
| 1962995241 | Brooke Ann Falstreau | Nurse Practitioner | 6161 Lake Brandt Rd, Greensboro, NC 27455 | 2018-06-11 |
| 1922312016 | Novant Medical Group, Inc | Family Medicine | 6161 Lake Brandt Rd, Greensboro, NC 27455-8414 | 2010-07-30 |
| 1265661391 | Chase Anderson Michaels | Physician Assistant | 6161 Lake Brandt Rd, Greensboro, NC 27455-8414 | 2009-07-10 |
| 1699984823 | Teresa Lynn Anderson | Nurse Practitioner | 6161 Lake Brandt Rd, Greensboro, NC 27455-8414 | 2007-05-22 |
| 1831119098 | Sheri B Beal | Physician Assistant | 6161 Lake Brandt Rd, Greensboro, NC 27455-8414 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789793 | Sarah Clegg Slack | Nurse Practitioner | 912 3rd St # 101, Greensboro, NC 27405-6967 | 2019-09-17 |
| 1881243558 | Kathryn Strup | Nurse Practitioner | 1317 N Elm St Ste 7, Greensboro, NC 27401-1023 | 2019-09-05 |
| 1174989792 | Elysa C. Graham | Nurse Practitioner | 1919 Boulevard St Ste A, Greensboro, NC 27407-4595 | 2016-01-12 |
| 1588033195 | Maria S. Gaddy | Nurse Practitioner | 1000 Cowles Clinc Way Ste M-200, Greensboro, GA 30642-4541 | 2015-09-24 |
| 1689042038 | Caroline Tedder Hacker | Nurse Practitioner | 300 E Wendover Ave, Suite 400, Greensboro, NC 27401-1229 | 2015-09-02 |
| 1659700177 | Jerry Keith Edwards | Nurse Practitioner | 501 Hickory Branch Rd, Greensboro, NC 27409-9601 | 2013-11-05 |
| 1609185255 | Yolanda Mcclam Nicholson | Nurse Practitioner | 112 N Benbow Road, Greensboro, NC 27411-7299 | 2010-09-30 |
| 1740594357 | Karen M Black | Nurse Practitioner | 1200 N Elm St Ste 3509, Greensboro, NC 27401-1004 | 2010-08-06 |
| 1235397738 | Russell Lee Welch | Nurse Practitioner | 510 N.elam Ave, Ste 302, Greensboro, NC 27403 | 2008-05-30 |
| 1174614259 | Vrinda Villa Pickering | Nurse Practitioner | 1200 North Elm Street, Greensboro, NC 27401-1004 | 2006-09-27 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
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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.