MRS. RAENELLE LYNN GRIFFIN (NPI# 1568659969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568659969 |
| Entity Type | Individual |
| Full Name | MRS. RAENELLE LYNN GRIFFIN |
| Other Name | MISS RAENELLE LYNN PARKER |
| Credential | PA-C |
| Practice Address |
316 Railroad Ave Goldsboro MD 21636-1126 |
| Mailing Address |
22968 Tuckahoe Springs Dr Denton MD 21629-1615 |
| Practice Telephone | 4106342380 |
| Practice Fax Number | 4104827488 |
| Mailing Telephone | 7572849982 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2014-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0003659 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
316 RAILROAD AVE |
| City | GOLDSBORO |
| State | MD |
| Zip Code | 21636-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043285208 | Patricia Jean Karnes-amzibel | Family Medicine | 316 Railroad Ave, Goldsboro, MD 21636 | 2006-02-21 |
| 1659908192 | Amanda Lynn Turner | Dental Hygienist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2020-03-25 |
| 1669943148 | Melinda Payton | Nurse Practitioner | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-12-10 |
| 1346737251 | Anfal Ali | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2018-04-16 |
| 1770822348 | Peter Malcolm Stanford | Physician Assistant | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2013-02-02 |
| 1922356070 | Lindsay Michelle Freedman | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2012-08-21 |
| 1518264415 | Yiya Zhou | Dentist | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2011-02-12 |
| 1881910701 | Mary Ellen Caldwell | Dental Hygienist | 316 Railroad Ave, Goldsboro, MD 21636 | 2010-04-16 |
| 1962647487 | Choptank Community Health System, Inc. | Clinic/Center | 316 Railroad Ave, Goldsboro, MD 21636-1126 | 2008-12-12 |
| 1124222369 | Thomas Griffith Duncan Jr. | Dentist | 316 Railroad Ave, Goldsboro, MD 21636 | 2007-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295077105 | Senior Care of Goldsboro, Inc | Assisted Living Facility | 14736 Poplar St, Goldsboro, MD 21636-1307 | 2013-03-19 |
| 1235578261 | Tammy Lynn Merson | Registered Nurse | 14736 Poplar St, Goldsboro, MD 21636-1307 | 2013-06-24 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346784949 | Brenda A Scronce | Physician Assistant | 211 N Spence Ave, Goldsboro, NC 27534-2753 | 2016-12-15 |
| 1114383528 | Katlyn E Rhodes | Physician Assistant | 1506 Wayne Memorial Dr Ste D, Goldsboro, NC 27534-2202 | 2016-01-14 |
| 1093900466 | Diane Lancaster Mullins | Physician Assistant | 901 Beech St, Goldsboro, NC 27530-2922 | 2007-09-10 |
| 1346321759 | David Mcdonald Hinds | Physician Assistant | 2902 Central Heights Rd, Goldsboro, NC 27534-6513 | 2006-10-18 |
| 1962506246 | Teresa Jean Cochran | Physician Assistant | 1100 Parkway Dr Suite C, Goldsboro, NC 27534 | 2006-09-08 |
| 1104932433 | Sharon G. Crenshaw | Physician Assistant | 301 N Herman Street Box Cc, Goldsboro, NC 27530-1056 | 2006-08-21 |
| 1730709957 | Sarah Heminger | Physician Assistant | 104c Adair Dr, Goldsboro, NC 27530-4516 | 2020-04-17 |
| 1508417809 | Kaitlyn Jessica Shotwell | Physician Assistant | 2700 Wayne Memorial Dr, Goldsboro, NC 27534-9494 | 2019-09-27 |
| 1861040230 | Aaron Stephen Peterson | Physician Assistant | 2600 Us Highway 70 W, Goldsboro, NC 27530-7779 | 2019-08-29 |
| 1104392588 | Kristina Main | Physician Assistant | 1402 Wayne Memorial Dr, Goldsboro, NC 27534-2235 | 2018-10-23 |
| Find all providers in GOLDSBORO | ||||
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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.