MRS. DIANNE TREACY LORE (NPI# 1538358619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538358619 |
| Entity Type | Individual |
| Full Name | MRS. DIANNE TREACY LORE |
| Credential | FNP-BC, PNP-BC |
| Practice Address |
6602 Knightdale Blvd Knightdale NC 27545-6525 |
| Mailing Address |
1408 Willowleaf Way Apex NC 27502-3847 |
| Practice Telephone | 9197475210 |
| Mailing Telephone | 9192194510 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
162992 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BOARD OF MEDICINE | 5003523 | 01 |
| NC | BOARD OF NURSING | 162992 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2469 Wendell Blvd, Wendell, NC 275916903 | 9193659045 | 9193659046 |
| Street Address |
6602 KNIGHTDALE BLVD |
| City | KNIGHTDALE |
| State | NC |
| Zip Code | 27545-6525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789394 | Linwood Worth Watson | Family Medicine | 6602 Knightdale Blvd, Suite 102, Knightdale, NC 27545-7130 | 2005-06-10 |
| 1538693627 | Cynthia Topley | Dietitian, Registered | 6602 Knightdale Blvd, #202, Knightdale, NC 27545-6525 | 2017-04-14 |
| 1801345855 | Tyler Giese | Social Worker | 6602 Knightdale Blvd, Suite 201, Knightdale, NC 27545-6525 | 2016-09-30 |
| 1720431372 | Melissa Stieb | Physical Therapy Assistant | 6602 Knightdale Blvd, Knightdale, NC 27545-6525 | 2016-07-19 |
| 1619303690 | Private Diagnostic Clinic, Pllc | Pediatrics | 6602 Knightdale Blvd, Suite 204, Knightdale, NC 27545-6525 | 2013-09-23 |
| 1851660807 | Gaben | Pharmacy | 6602 Knightdale Blvd, Suite 120, Knightdale, NC 27545-6525 | 2011-12-20 |
| 1790002418 | Matthew David Oettinger | Family Medicine | 6602 Knightdale Blvd, Suite 202, Knightdale, NC 27545-6525 | 2010-04-21 |
| 1669615167 | Jacqueline Farber Kerkow | Pediatrics | 6602 Knightdale Blvd, Ste 204, Knightdale, NC 27545-6525 | 2009-04-13 |
| 1811155807 | Segmia Kenna Tohnya | Pharmacist | 6602 Knightdale Blvd, Suite 120, Knightdale, NC 27545-6525 | 2008-05-28 |
| 1073723227 | Tracy Wogan Kendrick | Internal Medicine | 6602 Knightdale Blvd, Suite 202, Knightdale, NC 27545-6525 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639688526 | Galberth Health | Physical Therapist | 8002 Peachtree Town Ln, Knightdale, NC 27545 | 2017-09-24 |
| 1790215390 | Edward Hoggard Jr. | Counselor | 2013 Ballston Place, Knightdale, NC 27545 | 2017-06-15 |
| 1730635970 | Tara Forsythe | Social Worker | 4006 Peachtree Town Lane, Knightdale, NC 27545 | 2016-08-28 |
| 1134504962 | Maybell Grino | Pharmacist | 7201 Us Highway 64, Knightdale, NC 27545 | 2015-07-22 |
| 1477948735 | Q1 Clinical Consultants, LLC | Community/Behavioral Health | 1408 Silver Valley Dr, Knightdale, NC 27545 | 2015-04-03 |
| 1235560772 | Shameka Latoya Davis | Counselor | 7417 Knightdale Blvd Unit 101, Knightdale, NC 27545 | 2013-12-10 |
| 1992135107 | Daniel Ross Conti | Dentist | 1001 Widewaters Parkway, Knightdale, NC 27545 | 2013-11-25 |
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790037133 | Dona D Mayo | Counselor | 502 Mcknight Drive, Better Communities, Knightdale, NC 27545 | 2012-10-09 |
| 1699972257 | Lindsay Horwat | Occupational Therapist | 1010 Emerald Common Drive, Apartment 205, Knightdale, NC 27545 | 2007-06-28 |
| Find all providers in zip 27545 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255773644 | David D Sanjurjo | Nurse Practitioner | 7201 Us Hwy 64, Knightdale, NC 27545 | 2013-07-25 |
| 1790763944 | Jacqueline Tucker Cardenas | Nurse Practitioner | 7201 Us Highway 64 E, Knightdale, NC 27545-9268 | 2006-01-06 |
| 1396356085 | Sandra Leggott | Nurse Practitioner | 162 Legacy Oaks Dr, Knightdale, NC 27545-6556 | 2020-08-14 |
| 1861036154 | Alexandra Hurst | Nurse Practitioner | 7201 Us Highway 64 E, Knightdale, NC 27545-9268 | 2019-10-30 |
| 1669027280 | Danielle Kristine Hill | Nurse Practitioner | 7201 Us 64 Hwy E, Knightdale, NC 27545-9268 | 2019-08-09 |
| 1154975795 | Jennifer Thomas | Nurse Practitioner | 162 Legacy Oaks Dr, Knightdale, NC 27545-6556 | 2019-07-31 |
| 1336605039 | Casey L Wiggins | Nurse Practitioner | 7201 Us Highway 64 E, Knightdale, NC 27545-9268 | 2019-02-18 |
| 1700236908 | Carmen Herring | Nurse Practitioner | 7201 Us Highway 64 E, Knightdale, NC 27545-9268 | 2016-06-18 |
| 1902209505 | Carolyn Elizabeth Connor | Nurse Practitioner | 7201 Us Highway 64 E, Knightdale, NC 27545-9268 | 2014-09-27 |
| 1730505850 | Dr Arnette O Everett Family Practice | Nurse Practitioner | 502 Mcknight Dr, Suite 100, Knightdale, NC 27545-7050 | 2014-03-13 |
| Find all providers in KNIGHTDALE | ||||
| City | KNIGHTDALE |
| Zip Code | 27545 |
Please comment or provide details below to improve the information on MRS. DIANNE TREACY LORE.
| 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.