MS. SHADERIKA WILLIS MCCOY (NPI# 1528370244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528370244 |
| Entity Type | Individual |
| Full Name | MS. SHADERIKA WILLIS MCCOY |
| Credential | NP |
| Practice Address |
10 Sunnybrook Rd Raleigh NC 27610-1808 |
| Practice Telephone | 9192504520 |
| Mailing Telephone | 9192504520 |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2016-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
5004764 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10 SUNNYBROOK RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295721710 | Robert Thomas Dodge | Nurse Practitioner | 10 Sunnybrook Rd, Clinic A, Raleigh, NC 27610-1808 | 2005-09-20 |
| 1982252086 | Mary Carr Allen | Physician Assistant | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2019-09-01 |
| 1689222044 | Allyson Lockwood Ishihara | Social Worker | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2019-08-29 |
| 1053975284 | Renee Buchser | Registered Nurse | 10 Sunnybrook Rd, Raleigh, NC 27610-1861 | 2019-04-23 |
| 1235609090 | Elizabeth Deanne Moore | Nurse Practitioner | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2018-12-04 |
| 1053804542 | Brittany Charlene Stofford | Dentist | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2018-06-11 |
| 1528410735 | Susan Wilson | Nurse Practitioner | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2016-07-12 |
| 1316394406 | Tabitha Alford | Nurse Practitioner | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2016-05-18 |
| 1982096228 | Sandra Painter | Social Worker | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2015-02-24 |
| 1467840702 | Meghan Malka | Dietitian, Registered | 10 Sunnybrook Rd, Raleigh, NC 27610-1808 | 2015-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255838561 | Ellen Byars | Nurse Practitioner | 4420 Lake Boone Trl Ste 201, Raleigh, NC 27607-7505 | 2018-04-12 |
| 1407112352 | Virginia S Jenkins | Nurse Practitioner | 2304 Wesvill Ct Ste 201, Raleigh, NC 27607-0058 | 2012-04-04 |
| 1598948002 | Meredith Lynn Harris | Nurse Practitioner | 5816 Creedmoor Rd Ste 103b, Raleigh, NC 27612-2310 | 2007-12-07 |
| 1750476677 | Pamela J Lawlor | Nurse Practitioner | 10941 Raven Ridge Rd # 1, Raleigh, NC 27614-6487 | 2006-10-04 |
| 1619587904 | Danielle Nicole Lewis | Nurse Practitioner | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2020-08-03 |
| 1255991295 | Heather Lannette Dellinger | Nurse Practitioner | 4551 New Bern Ave Ste 160, Raleigh, NC 27610-1552 | 2019-06-20 |
| 1588149652 | Rebecca Daniels | Nurse Practitioner | 4414 Lake Boone Trl Ste 308, Raleigh, NC 27607-7514 | 2018-09-25 |
| 1053858357 | Adrienne Heath | Nurse Practitioner | 100 S Boylan Ave, Raleigh, NC 27603-1802 | 2017-01-24 |
| 1396103222 | Amanda Elaine Tattersall | Nurse Practitioner | 10941 Raven Ridge Rd, Raleigh, NC 27614-6487 | 2016-02-06 |
| 1689062176 | Kristin Lauer Allison | Nurse Practitioner | 4414 Lake Boone Trl, Suite 405, Raleigh, NC 27607-7513 | 2015-01-06 |
| Find all providers in RALEIGH | ||||
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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.