KRISTIE WIMBUSH (NPI# 1346742327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346742327 |
| Entity Type | Individual |
| Full Name | KRISTIE WIMBUSH |
| Credential | LCSWA |
| Practice Address |
1822 E Nc Highway 54 Durham NC 27713-3210 |
| Practice Telephone | 9194746400 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1822 E NC HIGHWAY 54 |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578659801 | Eric Davis, Dds, Pllc | Dentist | 1822 E Nc Highway 54, Suite 100, Durham, NC 27713-3210 | 2006-10-05 |
| 1720613946 | Viveck Patel | Counselor | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2020-03-09 |
| 1699334573 | Rebecca Langham | Social Worker | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2019-06-13 |
| 1154823136 | Yusef Lee | Peer Specialist | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2018-03-06 |
| 1437651411 | Debra Seitz | Counselor | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2018-03-06 |
| 1164924148 | Elissa Adams | Counselor | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2018-03-06 |
| 1124527270 | Jessica Faye Dasilva | Counselor | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2018-02-05 |
| 1124538046 | Cerissa Maleekah Dewberry | Social Worker | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2017-10-05 |
| 1780115816 | Heather Monroe | Social Worker | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2017-03-21 |
| 1528508900 | Tara Belt | Counselor | 1822 E Nc Highway 54, Suite 300, Durham, NC 27713-3210 | 2017-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619408713 | Vera Jacobs | Peer Specialist | 415 Princess Ann Dr, Durham, NC 27703-2518 | 2017-03-21 |
| 1073905626 | Jennie Gayle Sides | Peer Specialist | 8109 Highway 30, Durham, OK 73642-4256 | 2015-02-19 |
| 1154823136 | Yusef Lee | Peer Specialist | 1822 E Nc Highway 54, Durham, NC 27713-3210 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215572896 | Porsha Griffin | Peer Specialist | 809 Park Ave Ste F, Greensboro, NC 27405-7811 | 2019-11-07 |
| 1235787227 | Cecilia Davis Smith | Peer Specialist | 1022 S Main St., Lillington, NC 27546-2754 | 2019-09-03 |
| 1043876220 | Connie C Hargrove | Peer Specialist | 1161 Pinkney Rd Nw, Pikeville, NC 27863-8690 | 2019-05-14 |
| 1538633128 | Krystal Hocutt | Peer Specialist | 1027 Skyview Dr Lot 301, Raleigh, NC 27603-5313 | 2019-01-16 |
| 1902372691 | Amy Sue Wilson | Peer Specialist | 375 Sequoyah Trl # 268, Cherokee, NC 28719 | 2018-10-19 |
| 1063925774 | Pervis Nash | Peer Specialist | 4703 N Sharon Amity Rd Apt 2, Charlotte, NC 28205-4657 | 2017-11-16 |
| 1760919112 | Dana Watson White | Peer Specialist | 327 Holland Dr, Statesville, NC 28677-4168 | 2017-05-16 |
| 1003356940 | Donald Sawyer IIi | Peer Specialist | 1450 E 11th St, Winston Salem, NC 27101-3209 | 2017-02-25 |
| 1215395207 | Troy Allen Hunt | Peer Specialist | 4224 Glenlea Commons Dr, Charlotte, NC 28216-9519 | 2016-02-04 |
| 1710353107 | Vanessa Fitzgerald | Peer Specialist | 423 Brookway West Dr, Lewisville, NC 27023-7602 | 2015-08-19 |
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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.