RUSSELL MEYERS


Address: 280 Salter Path Rd, Pine Knoll Shores, NC 28512-6120
Phone: 2522400019

RUSSELL MEYERS (NPI# 1235676743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235676743
Entity Type Individual
Full Name RUSSELL MEYERS
Credential LCAS-A
Practice Address 280 Salter Path Rd
Pine Knoll Shores
NC 28512-6120
Practice Telephone 2522400019
Mailing Telephone 2522400019
Enumeration Date 2017-01-22
Last Update Date 2017-01-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LCAS-20883 NC Behavioral Health & Social Service Providers

Office Location

Street Address 280 SALTER PATH RD
City PINE KNOLL SHORES
State NC
Zip Code 28512-6120

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215162375 Charles Brownlow Pace Pharmacist 915 B West Fort Macon Rd, Atlantic Beach, NC 28512 2009-05-19
1518900513 Town of Indian Beach Ambulance 1400 Salter Path Rd, Indian Beach, NC 28512 2006-06-14
1144268772 Town of Pine Knoll Shores Ambulance 314 Salter Path Rd., Pine Knoll Shores, NC 28512 2006-06-04
1770085870 Jennifer Marie Jones Behavior Technician 103 Bay Ridge Dr, Atlantic Beach, NC 28512-5204 2018-03-05
1134220908 Eckerd Corporation Durable Medical Equipment & Medical Supplies 915 B West Fort Macon Road, Atlantic Beach, NC 28512-5317 2006-09-26
1073139366 Megan Bosse Physician Assistant 117 E Atlantic Blvd, Atlantic Beach, NC 28512-5439 2020-06-22
1265418453 Lisa Dawn Anthony Specialist/Technologist, Other 2301 E Fort Macon Rd, Atlantic Beach, NC 28512-5633 2005-12-20
1528305026 Kaissar S Ibrahim Clinic/Center 1435 Salter Path Rd Unit F5, Atlantic Beach, NC 28512-5903 2013-01-03
1437106044 Town of Atlantic Beach Ambulance 125 Salter Path Rd, Atlantic Beach, NC 28512-6101 2006-05-28
1598773343 Kevin M. Mcknight Internal Medicine 320 Salter Path Rd # Unitsab, Pine Knoll Shores, NC 28512-6135 2006-08-04
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1588264006 Jocelyn S Whitfield Counselor 1279 William Beale Rd, Pendleton, NC 27862-7015 2020-10-26
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Competitor

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City PINE KNOLL SHORES
Zip Code 28512

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Dataset Information

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.

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