EDWARD JAY KAUFFMAN (NPI# 1316323777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316323777 |
| Entity Type | Individual |
| Full Name | EDWARD JAY KAUFFMAN |
| Practice Address |
125 Hospital Dr Spruce Pine NC 28777-3035 |
| Mailing Address |
4700 Waters Ave Savannah GA 31404-6220 |
| Practice Telephone | 8287654201 |
| Mailing Telephone | 9123501316 |
| Mailing Fax Number | 9123502156 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2019-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5011543 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
5011543 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN210225 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5011543 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN210225 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4700 Waters Ave, Savannah, GA 314046220 | 9123501316 | 9123502156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790799450 | Edward Charles Kauffman | Dermatology | 1490 N Turquoise Dr, Flagstaff, AZ 86001 | 2006-07-28 |
| Street Address |
125 HOSPITAL DR |
| City | SPRUCE PINE |
| State | NC |
| Zip Code | 28777-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204048 | Kaitlyn Hobbs | Speech-Language Pathologist | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2020-08-03 |
| 1790252856 | Mh Blue Ridge Medical Center, Lllp | Medicare Defined Swing Bed Unit | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-10-26 |
| 1578048294 | Mh Blue Ridge Medical Center, Lllp | General Acute Care Hospital | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-09-27 |
| 1184133100 | Blue Ridge Regional Hospital, Inc | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2017-09-21 |
| 1386181006 | Mission Medical Associates, Inc. | Emergency Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2017-01-20 |
| 1447707492 | Blue Ridge Regional Hospital, Inc. | Internal Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2016-09-07 |
| 1093160582 | Timothy Scott Holcomb | Physician Assistant | 125 Hospital Dr, Blue Ridge Regional Hospital, Spruce Pine, NC 28777-3035 | 2016-05-03 |
| 1992186092 | Blue Ridge Regional Hospital, Inc. | Obstetrics & Gynecology | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-06-15 |
| 1467847160 | Stephen Kimmel | Family Medicine | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2015-03-31 |
| 1457754566 | Sonia Ferrandiz | Nurse Practitioner | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2014-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013405265 | Spruce Pine Chiropractic, Pllc | Clinic/Center | 31 Cross Street, Suite 266, Spruce Pine, NC 28777 | 2018-04-24 |
| 1326463316 | Susan Lynn Lamont | Counselor | 2206 Carters Ridge Rd, Spruce Pine, NC 28777 | 2014-02-27 |
| 1548521115 | Mitchell House One, LLC | Assisted Living Facility | 13681 Hwy 226 South, Spruce Pine, NC 28777 | 2012-05-31 |
| 1245590025 | Lisa Wade Thomas | Hearing Instrument Specialist | 11887 S. P. Shopping Ctr, Spruce Pine, NC 28777 | 2012-05-25 |
| 1972860021 | Laura Lee Freeman | Psychologist | 545 Amity Park Rd., Mt. View Correctional Institute, Spruce Pine, NC 28777 | 2012-04-13 |
| 1326272824 | Brie Michele Folkner | Family Medicine | 537 Altapass Hwy Ste C, Spruce Pine, NC 28777 | 2009-05-12 |
| 1093901290 | Patricia Susan Noser | Nurse Practitioner | 12348 South 226 Highway, Spruce Pine, NC 28777 | 2007-09-20 |
| 1194943092 | Blue Ridge General Surgery, PC | Surgery | 8017 Nineteen E Highway, Spruce Pine, NC 28777 | 2007-04-23 |
| 1528186277 | Bruce Dennis Crawford | Dentist | 600 Amity Park Rd, Dental-avery Mitchell Correctional Institution, Spruce Pine, NC 28777 | 2007-03-27 |
| 1134284755 | Freedom Memorial In-home Monitoring | Durable Medical Equipment & Medical Supplies | 1422 Roan Road, Spruce Pine, NC 28777 | 2006-12-26 |
| Find all providers in zip 28777 | ||||
| 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 |
|---|---|---|---|---|
| 1265422661 | Cindy Blackwell Aldridge | Nurse Practitioner | 11728 S 226 Hwy, Spruce Pine, NC 28777-8954 | 2005-10-26 |
| 1720556269 | Mh Blue Ridge Medical Center, Lllp | Nurse Practitioner | 189 Hospital Dr, Spruce Pine, NC 28777-3035 | 2018-11-02 |
| 1093248718 | Charles Bradley Quillen | Nurse Practitioner | 189 Hospital Dr, Spruce Pine, NC 28777-3035 | 2017-04-10 |
| 1033573506 | Michelle Long | Nurse Practitioner | 11728 S 226 Hwy, Spruce Pine, NC 28777-8954 | 2016-04-11 |
| 1457754566 | Sonia Ferrandiz | Nurse Practitioner | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2014-10-02 |
| 1275826646 | Lee Jacob Rule | Nurse Practitioner | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2011-05-18 |
| 1982687885 | Elizabeth Anne Krell | Nurse Practitioner | 125 Hospital Dr, Spruce Pine, NC 28777-3035 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891959 | Amanda Lou Nester | Nurse Practitioner | 5293 Wayne Memorial Dr, Goldsboro, NC 27534-7257 | 2020-11-04 |
| 1902406671 | Lilly Danielle Appleberry | Nurse Practitioner | 6005 Clarks Fork Dr, Raleigh, NC 27616-5821 | 2020-10-30 |
| 1457950255 | Ronda Kaye Mckinney | Nurse Practitioner | 27 Resort Dr, Asheville, NC 28806-3815 | 2020-10-22 |
| 1215544986 | Tonya Lynn Burris | Nurse Practitioner | 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 | 2020-09-28 |
| 1609482280 | Deanna Mclamb | Nurse Practitioner | 3102 Bell Arthur Rd, Greenville, NC 27834-4758 | 2020-09-19 |
| 1548873664 | Rosalynn Maria Solis | Nurse Practitioner | 1407 Regal View Dr, Kernersville, NC 27284-0060 | 2020-08-28 |
| 1003428293 | Kashari Davis | Nurse Practitioner | 4252 Sutwick Dr, Charlotte, NC 28269-6001 | 2020-08-19 |
| 1861003709 | Raymond William Meyers | Nurse Practitioner | 1604 Pelham Rd, Winterville, NC 28590-9131 | 2020-08-13 |
| 1700495553 | Evergreen Emmejune Haverkamp | Nurse Practitioner | 545 Schultz Cir, Newland, NC 28657-7714 | 2020-07-28 |
| 1770191835 | Brandy Sampson | Nurse Practitioner | 2900 Old House Cir, Matthews, NC 28105-7279 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
| City | SPRUCE PINE |
| Zip Code | 28777 |
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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.