MRS. LINDA JEAN WANNER (NPI# 1225044555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225044555 |
| Entity Type | Individual |
| Full Name | MRS. LINDA JEAN WANNER |
| Credential | N.P. |
| Practice Address |
1309 S Cannon Blvd Kannapolis NC 28083-6232 |
| Mailing Address |
284 Executive Park Dr Suite 100 Concord NC 28025-1831 |
| Practice Telephone | 7049333212 |
| Practice Fax Number | 7049333221 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2017-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95008 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005033 | 05 | |
| NC | MEDICARE | 2806998A | 01 |
| Street Address |
1309 S CANNON BLVD |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28083-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922034008 | Patricia D. Wilson | Social Worker | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2006-06-23 |
| 1760919914 | Tamara Leonard Beck | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2017-05-18 |
| 1588105217 | Stephanie Kipp Gooding | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2017-03-14 |
| 1316493539 | Brandi Frazier | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2016-08-28 |
| 1619326436 | Angela Wilburn | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2016-06-13 |
| 1932556792 | June Minier | Registered Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2016-05-20 |
| 1851791628 | Rolanda Turner | Registered Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2014-08-29 |
| 1811308935 | Felicia Stanback | Registered Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2014-05-12 |
| 1013344258 | Larry Keever | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2013-10-02 |
| 1770910002 | Sandra Carter | Counselor | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2013-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1700428448 | Monarch | Community/Behavioral Health | 1276 Midlake Road, Kannapolis, NC 28083 | 2019-10-15 |
| 1275812612 | Rha Health Services Nc, LLC | Community/Behavioral Health | 1005 Oklahoma St, Kannapolis, NC 28083 | 2011-08-16 |
| 1265728687 | Delilah Jerelyn Jackson | Pharmacist | 559 Jackson Park Road, Kannapolis, NC 28083 | 2011-06-23 |
| 1770807562 | John Walsh Dds Pa | Dentist | 2222 Lake Concord Rd, Kannapolis, NC 28083 | 2010-03-23 |
| 1942534482 | Christina M Metts-wakeland | Massage Therapist | 2601 Cannon Blvd, Kannapolis, NC 28083 | 2009-10-01 |
| 1912164310 | Christian Women of Elegance Dba | Community/Behavioral Health | 397 Cannon South Boulevard, Kannapolis, NC 28083 | 2008-05-22 |
| 1265646582 | Rachal Alice David | Family Medicine | 241 Southaven Court, Kannapolis, NC 28083 | 2007-05-09 |
| 1154473601 | Bobby Edward Gibbs | Dentist | 281 S. Cannon Blvd, Kannapolis, NC 28083 | 2007-01-17 |
| Find all providers in zip 28083 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730078 | Leetisha Lawana Dunia | Nurse Practitioner | 538 Wood Point Dr, Lillington, NC 27546-5971 | 2020-11-06 |
| 1881292134 | Jurell Kirice Riley | Nurse Practitioner | 6301 Dumont Ln, Charlotte, NC 28269-6147 | 2020-10-09 |
| 1336756899 | Jennifer Danks | Nurse Practitioner | 1845 Keener Rd, Clinton, NC 28328-8039 | 2020-09-29 |
| 1376159400 | Ronald Jerome Patterson Jr. | Nurse Practitioner | 4204 Banks Stone Dr, Raleigh, NC 27603-4860 | 2020-09-23 |
| 1902411499 | Solari Mental and Behavioral Health Services | Nurse Practitioner | 11206 Highcrest Dr, Huntersville, NC 28078-0610 | 2020-09-10 |
| 1699389684 | Lasting Hope - Mental Health & Recovery | Nurse Practitioner | 131 Fiddlers Run Blvd, Morganton, NC 28655-0095 | 2020-09-07 |
| 1588277727 | Alison Stroh | Nurse Practitioner | 1313 Banyon Grove Loop, Cary, NC 27513-3936 | 2020-08-27 |
| 1902417488 | Erin Klender Pllc | Nurse Practitioner | 12106 Willingdon Rd, Huntersville, NC 28078-5520 | 2020-08-10 |
| 1407466824 | Theresa Uju Ofoemezie | Nurse Practitioner | 250 S San Agustin Dr, Mooresville, NC 28117-8581 | 2020-08-01 |
| 1669090213 | Rashonda R. Wheeler | Nurse Practitioner | 8949 Cinnabay Dr, Charlotte, NC 28216-2189 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | KANNAPOLIS |
| Zip Code | 28083 |
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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.