NICOLE DESCHENES (NPI# 1316214489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316214489 |
Entity Type | Individual |
Full Name | NICOLE DESCHENES |
Practice Address |
12925 Highway 601 Suite 300 Midland NC 28107-9535 |
Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
Practice Telephone | 7048883702 |
Enumeration Date | 2011-11-17 |
Last Update Date | 2019-05-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 5008521 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5641 Poplar Tent Rd, Suite 101, Concord, NC 280277533 | 7045124808 | |
5727 Prosperity Crossing Dr, Suite 2200, Charlotte, NC 282692206 | 7045124808 |
Street Address |
12925 HIGHWAY 601 SUITE 300 |
City | MIDLAND |
State | NC |
Zip Code | 28107-9535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760452676 | Edith Elaine Cloud | Family Medicine | 12925 Highway 601, Midland Family Medicine, Midland, NC 28107-9536 | 2006-01-24 |
1225522949 | Luckhardt, Pllc | Clinic/Center | 12925 Highway 601, Midland, NC 28107 | 2018-06-16 |
1760856918 | Matthew L. Hubis Dmd, Pa | Dentist | 12925 Highway 601, Suite 200, Midland, NC 28107-9535 | 2015-11-25 |
1972986321 | Diana L Millard | Dentist | 12925 Highway 601, Midland, NC 28107 | 2015-07-02 |
1659789105 | Stacy Fernandez | Nurse Practitioner | 12925 Highway 601, Ste 300, Midland, NC 28107-9535 | 2014-07-29 |
1265869846 | The Charlotte-mecklenburg Hospital Authority | Family Medicine | 12925 Highway 601, Ste 300, Midland, NC 28107-9535 | 2013-09-27 |
1154520823 | Theodore Kelley | Family Medicine | 12925 Highway 601, Ste 300, Midland, NC 28107-9535 | 2007-07-13 |
1588861843 | Meredith Bowen | Family Medicine | 12925 Highway 601, Ste 300, Midland, NC 28107-9535 | 2007-06-29 |
1447324777 | Eyeoptix Od, Pa | Optometrist | 12925 Highway 601, Midland, NC 28107-9535 | 2006-11-20 |
1073560850 | Carolinas Medical Center-northeast | Family Medicine | 12925 Highway 601, Suite 300, Midland, NC 28107-9535 | 2006-05-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649889965 | Jess P West Jr. | Dentist | 12180 Us-601 South, Midland, NC 28107 | 2020-07-23 |
1487841250 | Crawley Memorial Hospital Inc. | Skilled Nursing Facility | 315 West College Ave, Boiling Springs, NC 28107 | 2007-09-26 |
1912943192 | Amie L Howe | Pharmacist | 12925 Hwy 601 South, Midland, NC 28107 | 2006-06-22 |
1437470739 | Janice B Furr | Occupational Therapy Assistant | 8670 Hwy. 200 North, Midland, NC 28107-0000 | 2010-06-21 |
1518197623 | Rha Howell Care Center | Respite Care | 11955 Howell Center Drive, Midland, NC 28107-0000 | 2009-07-23 |
1487197547 | Katherine Moore Henriques Fernandez | Occupational Therapist | 601 Small Country Ln, Midland, NC 28107-7239 | 2016-11-22 |
1063918027 | Jeannie Legate | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
1306342365 | Gabrielle Grubic | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
1770088791 | Jordan Holt | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
1831525740 | Easter Seals Ucp North Carolina & Viriginia | Community Based Residential Treatment Facility, Mental Illness | 4293 Highway 24 27 E Ste A, Ste A, Midland, NC 28107-8500 | 2013-09-24 |
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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 |
---|---|---|---|---|
1285250183 | Ashley Nicole Gonzales | Nurse Practitioner | 2200 W Wadley Ave Ste 10, Midland, TX 79705-6405 | 2020-06-17 |
1700408242 | Tammy Elizabeth Chambers | Nurse Practitioner | 2660 W Sugnet Rd, Midland, MI 48640-2647 | 2020-05-07 |
1881173151 | Mh Health Care Services, PC | Nurse Practitioner | 413 Veterans Airpark Lane, Suite 1,400, Midland, TX 79705 | 2018-08-08 |
1720590128 | Jane Brines | Nurse Practitioner | 5310 Perrine Rd, Midland, MI 48640-3111 | 2017-10-25 |
1447788658 | Alison Marie Funka | Nurse Practitioner | 4320 Campus Ridge Dr, Midland, MI 48640-6104 | 2017-06-01 |
1528519956 | Maria Horton | Nurse Practitioner | 4503 Hancock Dr, Midland, MI 48642-5893 | 2016-10-20 |
1326215609 | Greg Womack Holmes | Nurse Practitioner | 5515 Rio Grande Ave, Midland, TX 79707-9701 | 2008-05-14 |
1003970856 | Lisa Lynette Miller | Nurse Practitioner | 4201 Campus Ridge Dr Ste 4000, Midland, MI 48640 | 2006-12-19 |
1528168242 | Jean M Thiele | Nurse Practitioner | 2121 Rockwell Dr, Midland, MI 48642-9316 | 2006-09-23 |
1265413835 | Laura Ann Cralle | Nurse Practitioner | 801 E Florida Ave, Midland, TX 79701-8212 | 2005-11-09 |
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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.