JACQUELINE GROOMS OLIVER (NPI# 1467817353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467817353 |
Entity Type | Individual |
Full Name | JACQUELINE GROOMS OLIVER |
Credential | PNP-AC |
Practice Address |
101 Kellie Dr Smithfield NC 27577-9443 |
Mailing Address |
3503 Berkshire Dr Nw Wilson NC 27896-1499 |
Practice Telephone | 9199383749 |
Mailing Telephone | 8283161367 |
Enumeration Date | 2015-12-21 |
Last Update Date | 2019-02-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5008262 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2100 Stantonsburg Rd, Greenville, NC 278342818 | 2528474100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659913283 | Jacqueline Alexander Oliver | Physician Assistant | 3198 Pacific Ave Ste 104, Virginia Beach, VA 23451-2949 | 2019-10-15 |
1588858021 | Jacqueline Oliver | Occupational Therapist | 705 E 7th St, Fowler, IN 47944-1539 | 2007-08-28 |
1578072716 | Jacqueline D Oliver | Speech-Language Pathologist | 1910 S Virginia St, Hopkinsville, KY 42240-3692 | 2017-09-20 |
1730290842 | Jacqueline D Oliver | Physical Therapist | 530 Lakehurst Rd, Suite 202/204, Toms River, NJ 08755-8063 | 2006-08-31 |
Street Address |
101 KELLIE DR |
City | SMITHFIELD |
State | NC |
Zip Code | 27577-9443 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487612628 | Kids Care Pediatrics Pa | Pediatrics | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2006-05-03 |
1720640568 | Shelli Hoyes | Registered Nurse | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2019-07-02 |
1467954396 | Caroline Bernthal | Nurse Practitioner | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2018-03-07 |
1427500982 | Kate Elizabeth Houghtalen | Registered Nurse | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2016-11-01 |
1174826952 | Lori Beth Bailey | Registered Nurse | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2010-12-16 |
1013065390 | Karen H Merritt | Nurse Practitioner | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2007-01-05 |
1346298973 | Lisa M.l. Parker | Pediatrics | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2006-05-05 |
1629036256 | Debra J Tetreault | Pediatrics | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2006-05-03 |
1558329110 | Penelope S Bliss | Pediatrics | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2006-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
Find all providers in zip 27577 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962442376 | Sharon Q Capuano | Nurse Practitioner | 1150 Douglas Pike, Smithfield, RI 02917 | 2006-06-07 |
1609488535 | Alexis Fernandez | Nurse Practitioner | 1519 E Booker Dairy Rd, Smithfield, NC 27577-9472 | 2020-08-21 |
1467954396 | Caroline Bernthal | Nurse Practitioner | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2018-03-07 |
1245698620 | Ashleigh Pappadake Martin | Nurse Practitioner | 1519 E Booker Dairy Rd, Smithfield, NC 27577-9472 | 2016-02-01 |
1770826950 | Shannon Ford | Nurse Practitioner | 11 Berkshire Rd, Smithfield, NC 27577-4748 | 2013-04-05 |
1356495683 | Jana S Kellam | Nurse Practitioner | 11 Berkshire Rd, Smithfield, NC 27577 | 2007-01-23 |
1013065390 | Karen H Merritt | Nurse Practitioner | 101 Kellie Dr, Smithfield, NC 27577-9443 | 2007-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
Find all providers with the same taxonomy |
City | SMITHFIELD |
Zip Code | 27577 |
Please comment or provide details below to improve the information on JACQUELINE GROOMS OLIVER.
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.