MISS NICOLE EMILIA RENFROE (NPI# 1215483540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215483540 |
Entity Type | Individual |
Full Name | MISS NICOLE EMILIA RENFROE |
Credential | ATC |
Practice Address |
11200 Governor Manly Way Raleigh NC 27614-8599 |
Mailing Address |
5210 Crosswood Way Apt 205 Raleigh NC 27616-9790 |
Practice Telephone | 9195629410 |
Mailing Telephone | 4046421670 |
Enumeration Date | 2016-08-28 |
Last Update Date | 2016-08-28 |
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 | LAT-2929 | NC | Student, Health Care |
Street Address |
11200 GOVERNOR MANLY WAY |
City | RALEIGH |
State | NC |
Zip Code | 27614-8599 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194708263 | Edgar Xavier Correa | Podiatrist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2005-11-22 |
1437769080 | Jerrell Parker | Physical Therapy Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2020-08-07 |
1255997086 | Kendra Rae Potter | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2019-05-16 |
1942719752 | Lisa Susanna Izzi | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-09-25 |
1053843664 | Brooke Graves | Physician Assistant | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-04-02 |
1356881528 | John Michael Ablan | Prevention Professional | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2017-03-07 |
1174074769 | Kelsey Leigh Mancini | Specialist/Technologist | 11200 Governor Manly Way, Suite 309, Raleigh, NC 27614-8599 | 2016-10-18 |
1124579008 | Taylor Beavers | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-10-17 |
1649725177 | Chelsea Christine Sorensen | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-08-25 |
1942652839 | Chris Cardella | Specialist/Technologist | 11200 Governor Manly Way, Raleigh, NC 27614-8599 | 2016-07-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215419379 | Patrick Orion Finn | Family Medicine | 10010 Falls of The Neuse Rd, Suite 11, Raleigh, NC 27614 | 2018-09-05 |
1538652557 | Amn Medical Group Pllc | General Practice | 13200 Falls of Neuse Rd Ste 113, Raleigh, NC 27614 | 2018-06-13 |
1497201727 | Kelsey Scheerer | Student in an Organized Health Care Education/Training Program | 11200 Governor Way, Raleigh, NC 27614 | 2016-08-28 |
1538521463 | Liane Rudd | Speech-Language Pathologist | 4700 Norbury Place, Raleigh, NC 27614 | 2016-03-21 |
1891088068 | Michelle Lynn Thompson | Pharmacist | 10930 Raven Ridge Road, Raleigh, NC 27614 | 2011-05-22 |
1821396185 | Bettye Jo Johnson | Physical Medicine & Rehabilitation | 11200 Governor Manly Way, Suite 305, Orhopaedic Specialists of North Carolina, Pa, Raleigh, NC 27614 | 2011-03-09 |
1982900650 | Blake Jennings Lamm | Pharmacist | 14460 New Falls of Neuse Rd, Suite 165, Raleigh, NC 27614 | 2011-01-28 |
1013223023 | Lauren S Lawler | Pharmacist | 11201 Durant Road, Raleigh, NC 27614 | 2010-08-27 |
1588985378 | Kashif Mazhar | General Acute Care Hospital | 10010 Falls of Neuse Road, Suite #12, Raleigh, NC 27614 | 2010-06-16 |
1922240100 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 14520 John Rex Blvd, Raleigh, NC 27614 | 2009-04-02 |
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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 |
---|---|---|---|---|
1376140632 | Karla Flores Chavez | Student in an Organized Health Care Education/Training Program | 3624 Castlegate Dr, Raleigh, NC 27616-9551 | 2020-10-08 |
1144830977 | Kiera Ann Quinn | Student in an Organized Health Care Education/Training Program | 8813 Miranda Dr, Raleigh, NC 27617-7675 | 2020-08-06 |
1932725017 | Henry Matthews Kidd Jr. | Student in an Organized Health Care Education/Training Program | 613 Glen Eden Dr, Raleigh, NC 27612-5002 | 2020-06-24 |
1639795487 | Cameron Clark | Student in an Organized Health Care Education/Training Program | 701 Loch Highlands Dr, Raleigh, NC 27606-8432 | 2020-06-17 |
1942822069 | Matthew Daniel Mcdowell | Student in an Organized Health Care Education/Training Program | 3614 Silver Forrest Ln, Raleigh, NC 27614-7331 | 2020-05-12 |
1386265486 | Cayla Lauren Culbreth | Student in an Organized Health Care Education/Training Program | 8904 Sanctus Ln, Raleigh, NC 27613-5394 | 2020-04-29 |
1306466297 | Jordan Daniel Taylor | Student in an Organized Health Care Education/Training Program | 5529 Golden Arrow Ln, Raleigh, NC 27613-8409 | 2020-04-21 |
1326684879 | Marcus Alan Bynum | Student in an Organized Health Care Education/Training Program | 2005 Rabbit Run, Raleigh, NC 27603-2783 | 2019-11-19 |
1306307467 | Fadi Hanna | Student in an Organized Health Care Education/Training Program | 2304 Kendricks Ct, Raleigh, NC 27613-3678 | 2019-03-29 |
1992265565 | Laura Barlow Moore | Student in an Organized Health Care Education/Training Program | 430 Allister Dr Unit 206, Raleigh, NC 27609-7279 | 2019-03-20 |
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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.