DEIDRE CONSOL (NPI# 1568867968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568867968 |
| Entity Type | Individual |
| Full Name | DEIDRE CONSOL |
| Credential | AGPCNP-BC |
| Practice Address |
115 Market St Durham NC 27701-3251 |
| Practice Telephone | 9199379190 |
| Mailing Telephone | 9199379190 |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
245170 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
115 MARKET ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-3251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487786190 | Devereux Residential Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 115 Market St, Ste 204 G, Durham, NC 27701-3251 | 2007-03-09 |
| 1467974865 | Douglas Martin Riley | Technician/Technologist | 115 Market St, Durham, NC 27701-3251 | 2017-07-07 |
| 1477786309 | Alexandria Little Westfall | Psychologist | 115 Market St, Suite 360-f, Durham, NC 27701-3251 | 2009-08-26 |
| 1871730697 | Melissa Lynn Dorsett Felicelli | Speech-Language Pathologist | 115 Market St, Durham, NC 27701-3251 | 2009-01-15 |
| 1598962730 | Sarah Hoadley Gibbs | Psychologist | 115 Market St, Durham, NC 27701-3251 | 2007-06-29 |
| 1902020308 | Nc Division of Health Services | Clinic/Center | 115 Market St, Suite 201, Durham, NC 27701-3251 | 2007-04-13 |
| 1548383540 | Evangeline Thompson Seay | Specialist | 115 Market St, Durham, NC 27701-3251 | 2007-04-06 |
| 1033239207 | Donald Raymond Neiler | Psychologist | 115 Market St, Suite 201, Durham, NC 27701-3251 | 2007-03-30 |
| 1194840132 | Virginia Smith Busch | Speech-Language Pathologist | 115 Market St, Suite 201, Durham, NC 27701-3251 | 2007-03-20 |
| 1942334545 | Tiffany Thompson Brown | Speech-Language Pathologist | 115 Market St, Bull City Business Center, Suite 201, Durham, NC 27701-3251 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978334 | Anna Rapoport | Nurse Practitioner | Duke Medicine Center, 40 Duke Medicine Circle, Durham, NC 27710 | 2019-12-08 |
| 1275099186 | Tiffany Yates Mcewen | Nurse Practitioner | 2301 Erwin Rd Duke North Box # 3677, Durham, NC 27710-0001 | 2019-02-15 |
| 1821576539 | Kimberly Jean Holzmacher | Nurse Practitioner | Duke University Medical Center 3807 200 Trent Drive, Durham, NC 27710-0001 | 2018-08-03 |
| 1518415173 | Margaret Ellen Hardy | Nurse Practitioner | Clinic 2b, 40 Medicine Circle, Durham, NC 27710-0001 | 2016-09-13 |
| 1871954297 | Courtney Eileen Young | Nurse Practitioner | Duke University Cardiology, Dumc Box 3034, Durham, NC 27710-0001 | 2016-03-11 |
| 1346605292 | Yi-lin Liao | Nurse Practitioner | 2301 Erwin Rd 3100 Dn, Durham, NC 27710-4699 | 2015-12-18 |
| 1619364411 | Deborah Ballard | Nurse Practitioner | Dumc 3198 25178 Morris Bldg, Durham, NC 27710-0001 | 2015-04-20 |
| 1568870277 | Nina Block | Nurse Practitioner | Duke University Hospital Medical, 2301 Erwin Road, Durham, NC 27710-0001 | 2014-07-25 |
| 1427485960 | Jessica T Page | Nurse Practitioner | Dumc 3921, 201 Trent Drive, Durham, NC 27710-0001 | 2013-09-30 |
| 1891033387 | Guiling Yang | Nurse Practitioner | Duke University Outpatient 1a, Durham, NC 27708-0001 | 2013-01-18 |
| Find all providers in DURHAM | ||||
Please comment or provide details below to improve the information on DEIDRE CONSOL.
| 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.