DAWN GODFREY BOSTIC (NPI# 1588184667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588184667 |
Entity Type | Individual |
Full Name | DAWN GODFREY BOSTIC |
Credential | NP-C |
Practice Address |
288 S Ridgecrest Ave Rutherfordton NC 28139-2838 |
Mailing Address |
202 Walker Mill Rd Bostic NC 28018-7513 |
Practice Telephone | 8282865000 |
Enumeration Date | 2017-06-21 |
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 |
5009598 | NC | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
202 Walker Mill Rd, Bostic, NC 280187513 | 8284291074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396707469 | Dawn M Bostic | Physical Therapist | 7728 204th St Ne, Suite A, Arlington, WA 98223-2500 | 2006-04-04 |
Street Address |
288 S RIDGECREST AVE |
City | RUTHERFORDTON |
State | NC |
Zip Code | 28139-2838 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114909397 | Luther Person | Radiology | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2005-11-15 |
1326657883 | Todd L Gilliam | Nurse Practitioner | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2020-07-30 |
1952929598 | Jessica Burke | Nurse Practitioner | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2020-07-09 |
1205468956 | Michael George Miller | Hospitalist | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2020-02-11 |
1851949358 | Christina Shupe Huggins | Dietitian, Registered | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2019-08-28 |
1093361123 | Megan Burrows | Dietitian, Registered | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2019-08-14 |
1477087047 | Novant Medical Group, Inc | Psychiatry & Neurology | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2017-04-20 |
1679005615 | Lauren Ashton Carnes | Physician Assistant | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2017-03-29 |
1497294854 | Emma Katelin Crill | Physician Assistant | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2017-02-18 |
1598203564 | Sandra Mouton | Dietitian, Registered | 288 S Ridgecrest Ave, Rutherfordton, NC 28139-2838 | 2017-02-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821428269 | Onas Place 1 | Day Training, Developmentally Disabled Services | 127 Gabriel Street, Rutherfordton, NC 28139 | 2013-11-21 |
1821297821 | H. Vanderwal Inc. | Assisted Living Facility | 401 Us 221 S Hwy, Rutherfordton, NC 28139 | 2007-07-11 |
1013034974 | Jay R Mee | Massage Therapist | 244 Charlotte Road, Rutherfordton, NC 28139 | 2007-03-24 |
1386752509 | William Scott Jordan | Dentist | 334 N Main Street, Rutherfordton, NC 28139 | 2006-08-28 |
1194833855 | Rutherford Anesthesiology Associates, LLP | Anesthesiology | 288 S. Ridgecrest Avenue, Rutherfordton, NC 28139 | 2006-08-25 |
1316983745 | Thomas Vance Bolling | Surgery | 330 Nc Highway 108, Rutherfordton, NC 28139 | 2006-06-22 |
1265481865 | Kenneth Glen Miller-kallenbach | Psychiatry & Neurology | 182 West Court St, Rutherfordton, NC 28139 | 2006-05-09 |
1982674966 | Franklin James Mooring | Radiology | 288 South Ridgecrest, Rutherfordton, NC 28139 | 2006-01-24 |
1346578580 | Mission Medical Associates Inc | Internal Medicine | 128 Dr Henry Norris Dr, Rutherfordton, NC 28139 | 2009-11-30 |
1497907497 | Sydna Elizabeth Bougere | Counselor | 356 Charlotte Rd, Rutherfordton, NC 28139 | 2008-10-21 |
Find all providers in zip 28139 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699125070 | Megan Moore Bumgarner | Nurse Practitioner | 444 Nc Hwy 108, Rutherfordton, NC 28139-7871 | 2016-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
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City | RUTHERFORDTON |
Zip Code | 28139 |
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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.