MRS. HENRIETTA ELISE MCKOY (NPI# 1588276471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588276471 |
Entity Type | Individual |
Full Name | MRS. HENRIETTA ELISE MCKOY |
Practice Address |
913 Liberty Ln Fayetteville NC 28311-3073 |
Mailing Address |
1150 S Olive St Los Angeles CA 90015-2211 |
Practice Telephone | 9102570278 |
Mailing Telephone | 2138215977 |
Enumeration Date | 2020-08-20 |
Last Update Date | 2020-08-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
913 LIBERTY LN |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28311-3073 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
1154850998 | Shannon Marcella Chapman | Physical Therapist | 4140 Ramsey St Ste 110, Fayetteville, NC 28311 | 2017-06-06 |
1306392048 | Gena Oxendine | Counselor | 223 Glenola St, Fayetteville, NC 28311 | 2016-09-01 |
1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
1285984765 | Towanaka Yvette Bass | Home Health Aide | 5688 Dobson Drive, Fayetteville, NC 28311 | 2012-09-12 |
1255574448 | Amy E. Southworth | Occupational Therapist | 3409 Connection Rd, Fayetteville, NC 28311 | 2009-04-17 |
1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
Find all providers in zip 28311 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346869567 | Sahiba Bajwa | Student in an Organized Health Care Education/Training Program | Uams Northwest Campus, 1125 N. College Avenue, Slot 100, Fayetteville, AR 72703-1908 | 2020-04-09 |
1982239463 | Ashley A Bethea | Student in an Organized Health Care Education/Training Program | 4422 Spinel Dr, Fayetteville, NC 28311-6862 | 2020-03-05 |
1730719329 | Jessica Claire Perrett | Student in an Organized Health Care Education/Training Program | 150 Oak Shadow Way, Fayetteville, GA 30215-2985 | 2020-01-22 |
1215579263 | Hallie Hawe | Student in an Organized Health Care Education/Training Program | 2084 N Chestnut Ave Apt 13, Fayetteville, AR 72703-2242 | 2019-10-10 |
1457992877 | Daniel Ross Barber | Student in an Organized Health Care Education/Training Program | 503 Blessings Hill Ln, Fayetteville, TN 37334-9710 | 2019-10-07 |
1982160982 | Timothy Glenn Higgins | Student in an Organized Health Care Education/Training Program | 1689 N Whistling Straits Ave Apt 301, Fayetteville, AR 72704-6679 | 2019-02-14 |
1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
1053821165 | Yancy T. Dials | Student in an Organized Health Care Education/Training Program | 340 Ridgemont Dr, Fayetteville, GA 30215-7708 | 2017-10-03 |
1881128601 | Cynthia Jackson | Student in an Organized Health Care Education/Training Program | 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 | 2017-04-18 |
1578095055 | Tsungyen Chen | Student in an Organized Health Care Education/Training Program | 1125 N College Ave # Slot100, Fayetteville, AR 72703-1908 | 2017-04-03 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28311 |
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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.