DIRK NUTTLE (NPI# 1497152227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497152227 |
| Entity Type | Individual |
| Full Name | DIRK NUTTLE |
| Credential | LPCA, LCAS-A, CRC |
| Practice Address |
6324 Stonewick Dr Jamestown NC 27282-8516 |
| Practice Telephone | 3367076825 |
| Mailing Telephone | 3367076825 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-20573 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
A10631 | NC | Behavioral Health & Social Service Providers |
| Street Address |
6324 STONEWICK DR |
| City | JAMESTOWN |
| State | NC |
| Zip Code | 27282-8516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619301231 | Donna Jean Drosinis | Physician Assistant | 604 W. Main Street, Jamestown, NC 27282 | 2013-08-30 |
| 1548694268 | The Guilford County Resource and Referral Center | Community/Behavioral Health | 725-b W. Main Street, Jamestown, NC 27282 | 2013-08-29 |
| 1912269036 | Jacob Ilardi | Licensed Practical Nurse | 310 Nutwood Circle, Jameston, NC 27282 | 2012-06-14 |
| 1295985471 | Paris S Ford | Occupational Therapist | 200 Haynes Rd, Jamestown, NC 27282 | 2008-09-24 |
| 1972787083 | Charles L Brandenburg IIi Dds | Dentist | 5011d Mackay Rd, Jamestown, NC 27282 | 2007-12-26 |
| 1013034156 | Cecelia A Tolliver | Specialist/Technologist | 602 High Point Rd., Jamestown, NC 27282 | 2007-03-23 |
| 1174619746 | Ronald Ray Beshears | Dentist | 720 West Main Street, Suite B, Jamestown, NC 27282 | 2006-10-04 |
| 1982110342 | Novant Medical Group. Inc. | Family Medicine | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 | 2017-12-21 |
| 1275992943 | Amanda Brooks Adamski | Nurse Practitioner | 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 | 2016-02-23 |
| 1548573207 | Regional Physicians LLC | Family Medicine | 604 W Main St, Jamestown, NC 27282 | 2010-07-22 |
| Find all providers in zip 27282 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194359299 | Maretta Garner | Counselor | 45 Dixon Rd, Jamestown, KY 42629-6615 | 2020-02-27 |
| 1902457682 | Keyana Tanie Jordan | Counselor | 4508 Crowne Lake Cir Apt 1d, Jamestown, NC 27282-7921 | 2019-09-24 |
| 1730687104 | A Silverlining Counseling, Inc. | Counselor | 3636 Pickett Park Hwy, Jamestown, TN 38556-5881 | 2018-01-31 |
| 1063922763 | Darin Mark Hassel | Counselor | 300 2nd Ave Ne Ste 221, Jamestown, ND 58401-3373 | 2017-10-07 |
| 1518327162 | Emmalee P Sherrod | Counselor | 3346 Cherrybrook Dr, Jamestown, NC 27282-7782 | 2016-02-24 |
| 1952738205 | John Chancellor Williams | Counselor | 725 W Main St Ste B, Jamestown, NC 27282-7507 | 2013-10-02 |
| 1407008360 | Jacob Dale Reinarts | Counselor | 2504 Circle Dr # 58401, Jamestown, ND 58401 | 2008-10-22 |
| 1902053895 | Rachel B Pettys | Counselor | 2605 Circle Drive, Jamestown, ND 58401-2968 | 2008-08-21 |
| 1952428773 | Mark Walter Mcgroary | Counselor | 303 Oakdale Rd, Jamestown, NC 27282-9257 | 2007-03-25 |
| 1679689954 | Nancy Ann Exner | Counselor | 8980 38th St Se, Jamestown, ND 58401-9709 | 2006-08-21 |
| Find all providers in JAMESTOWN | ||||
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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.