MRS. LAURA ANN IVEY (NPI# 1578848735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578848735 |
| Entity Type | Individual |
| Full Name | MRS. LAURA ANN IVEY |
| Credential | PA-C |
| Practice Address |
2208 S 17th St Wilmington NC 28401-7593 |
| Practice Telephone | 9107633333 |
| Practice Fax Number | 9107633336 |
| Mailing Telephone | 9107633333 |
| Mailing Fax Number | 9107633336 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-03172 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NC LICENSE NUMBER | 0010-03172 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548412539 | Laura B Ivey | Registered Nurse | 221 Lindley Ln, Newport, AR 72112-4954 | 2008-10-21 |
| Street Address |
2208 S 17TH ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28401-7593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487626560 | George Van Buren Huffmon IIi | Specialist | 2208 S 17th St, Suite 201, Wilmington, NC 28401-7515 | 2006-02-03 |
| 1306307764 | Robin Rhyne Mclawhorn | Nurse Practitioner | 2208 S 17th St, Wilmington, NC 28401-7593 | 2019-03-28 |
| 1568844595 | Maria Luisa Stoute | Nurse Practitioner | 2208 S 17th St, Suite 201, Wilmington, NC 28401-7593 | 2015-06-26 |
| 1942621628 | Sheila Kubes | Physician Assistant | 2208 S 17th St, Wilmington, NC 28401 | 2013-12-23 |
| 1730514647 | Matthew Mcrae Spicer | Physician Assistant | 2208 S 17th St, Wilmington, NC 28401-7593 | 2013-09-10 |
| 1891927620 | Rebecca Eileen Noell | Nurse Practitioner | 2208 S 17th St, Wilmington, NC 28401-7593 | 2009-08-12 |
| 1780835769 | John Alexander Thomas | Neurological Surgery | 2208 S 17th St, Suite 201, Wilmington, NC 28401-7593 | 2008-10-08 |
| 1679765648 | Anna Peacock Bettendorf | Physical Medicine & Rehabilitation | 2208 S 17th St, Second Floor, Wilmington, NC 28401-7593 | 2007-08-14 |
| 1134236078 | Peacock-bettendorf, LLC | Physical Medicine & Rehabilitation | 2208 S 17th St, Second Floor, Wilmington, NC 28401-7515 | 2006-08-24 |
| 1083653745 | Jack Llorrac Bagley | Physician Assistant | 2208 S 17th St, Wilmington, NC 28401-7593 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275002461 | Thrivetothrive, LLC | Physical Therapist | 1606 Physicians Drive, Inside Promina Health, Wilmington, NC 28401 | 2018-11-16 |
| 1841787454 | Kevin Christopher Panebianco | Family Medicine | 1911 S 17th St Ste 130a, Wilmington, NC 28401 | 2018-04-18 |
| 1518472588 | Michelle Bruin | Family Medicine | 415 S. 2nd Street, Wilmington, NC 28401 | 2017-12-12 |
| 1639617343 | Anna Farwell | Behavior Technician | 3904 Oleander Dr. Suite 102, Wilmington, NC 28401 | 2017-02-02 |
| 1588034144 | Dimitri Zivko Pitovski | Allergy & Immunology | 1099 Medical Center Dr Unit 100b, Wilmington, NC 28401 | 2015-09-25 |
| 1629457007 | Megan Havel | Counselor | 1512 E Lakeshore Drive, Wilmington, NC 28401 | 2015-05-19 |
| 1154709251 | Lance Hutchens | Dentist | 1611 Doctors Cir, Wilmington, NC 28401 | 2015-05-11 |
| 1609281161 | Diane Pittman Whitford | Counselor | 313 Walnut St., Wilmington, NC 28401 | 2014-06-24 |
| 1942550728 | Bryan Cole Chalk | Nurse Anesthetist, Certified Registered | 2131 S 17th Street, Wilmington, NC 28401 | 2012-09-19 |
| 1740566546 | Valerie Baars | Pharmacist | 2302 S 17th Street, Wilmington, NC 28401 | 2011-10-25 |
| Find all providers in zip 28401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244471 | Caroline Gooch Reynolds | Physician Assistant | 340 Sabra Dr, Wilmington, NC 28405-3833 | 2020-01-13 |
| 1821658675 | Matthew Hisler Hrin | Physician Assistant | 5209 W Woodmill Dr Ste 35, Wilmington, DE 19808-4068 | 2019-06-14 |
| 1922461482 | Elma Estrada | Physician Assistant | 200 E. Anaheim Street, Wilmington, CA 90744 | 2016-04-01 |
| 1568833010 | N. Barton & Associates Inc. | Physician Assistant | 3629 Old Capitol Trl, Wilmington, DE 19808-6025 | 2015-10-09 |
| 1770950305 | Angelica Jackson | Physician Assistant | 1982 Eastwood Rd, Wilmington, NC 28403-7213 | 2015-08-31 |
| 1396015939 | Access Internal Medicine, PC | Physician Assistant | 1606 Wellington Ave Ste A, Wilmington, NC 28401-7704 | 2012-01-11 |
| 1679741987 | Amy L Strasser | Physician Assistant | 2700 Silverside Rd Ste 2, Wilmington, DE 19810-3724 | 2008-02-20 |
| 1932387842 | Gabrielle Logan Neal-barney | Physician Assistant | 2301 Delaney Ave, Wilmington, NC 28403-6012 | 2008-02-01 |
| 1528247244 | Teresa A. Holler | Physician Assistant | 4000 Shipyard Blvd Ste 120, Wilmington, NC 28403-6194 | 2007-10-30 |
| 1902922677 | Robert Anthony Disibio Jr. | Physician Assistant | 3322 Silverside Rd, Wilmington, DE 19810 | 2007-03-22 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28401 |
Please comment or provide details below to improve the information on MRS. LAURA ANN IVEY.
| 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.