MS. TINIKIA SHONTA PETTIFORD (NPI# 1225598014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225598014 |
| Entity Type | Individual |
| Full Name | MS. TINIKIA SHONTA PETTIFORD |
| Practice Address |
1606 Pinecroft Rd Apt H Greensboro NC 27407-3804 |
| Practice Telephone | 3364195148 |
| Mailing Telephone | 3364195148 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1606 PINECROFT RD APT H |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1801410600 | Ascending Hope Counseling, Pllc | Community/Behavioral Health | 230 Webster Rd Apt B, Greensboro, NC 27406-5861 | 2020-06-08 |
| 1336774249 | Rha Health Services Inc | Community/Behavioral Health | 101 S Elm St Ste 6, Greensboro, NC 27401-2852 | 2020-03-11 |
| 1548811177 | Sunrise Aba & Autism Services, L.l.c | Community/Behavioral Health | 4160 Piedmont Pkwy Ste 205, Greensboro, NC 27410-8174 | 2019-09-25 |
| 1649831470 | Alexander Youth Network | Community/Behavioral Health | 1601 Huffine Mill Rd Bldg C, Greensboro, NC 27405-5509 | 2019-06-24 |
| 1316507551 | Alexander Youth Network | Community/Behavioral Health | 309 Concord St Ste 101&201, Greensboro, NC 27406-3661 | 2019-06-19 |
| 1023580529 | A1 Quality Services | Community/Behavioral Health | 4626 W Market St # 182, Greensboro, NC 27407-2974 | 2018-12-20 |
| 1255808887 | Omniya Satori Miller | Community/Behavioral Health | 3000 Twin Lakes Dr, Greensboro, NC 27407-5709 | 2018-11-01 |
| 1417437674 | Positive Insights, LLC | Community/Behavioral Health | 1705 Kello Dr, Greensboro, NC 27455-1228 | 2018-08-17 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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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.