CHARLEY TYRE (NPI# 1609204585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609204585 |
| Entity Type | Individual |
| Full Name | CHARLEY TYRE |
| Credential | NP-C |
| Practice Address |
2627 Winding Cv Grimesland NC 27837-8612 |
| Practice Telephone | 2522178288 |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5006569 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2627 WINDING CV |
| City | GRIMESLAND |
| State | NC |
| Zip Code | 27837-8612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424917 | Greene County Health Care Incorporated | Clinic/Center | 550 River Street, Grimesland, NC 27837 | 2005-08-11 |
| 1902352123 | Life Primary Care Clinic, Pllc | Nurse Practitioner | 550 River Street, Grimesland, NC 27837 | 2016-08-28 |
| 1508138199 | Kimberly Dawn Ennis | Social Worker | 513 Lancelot Street, Grimesland, NC 27837-0567 | 2012-01-30 |
| 1790107357 | Tracey Lee Smith | Physician Assistant | 1970-c West Arlington Blvd, Greenville, NC 27837-5783 | 2014-01-15 |
| 1467078907 | Morgan Sutton | Student in an Organized Health Care Education/Training Program | 221 Tripp Trl, Grimesland, NC 27837-8701 | 2020-06-21 |
| 1598108664 | George Brian Harris | Counselor | 2812 Mobleys Bridge Rd, Grimesland, NC 27837-8832 | 2013-04-09 |
| 1396912986 | Diane K. Bradshaw | Counselor | 367 Great Forest Rd, Grimesland, NC 27837-9049 | 2008-05-13 |
| 1265621049 | Life Options | Health Maintenance Organization | 4743 Ariel Dr, Grimesland, NC 27837-9107 | 2007-10-17 |
| 1942504428 | Robersonville Psychosocial Rehabilitation LLC | Community/Behavioral Health | 3709 Barton Way, Grimesland, NC 27837-9159 | 2010-12-27 |
| 1275917924 | 3s Therapy, P.C. | Speech-Language Pathologist | 3116 Juniper Branch Dr, Grimesland, NC 27837-9167 | 2015-07-13 |
| Find all providers in zip 27837 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260451 | Jo Ellen Inman-puckett | Nurse Practitioner | 31 Swiss Pine Ct, Spruce Pine, NC 28777-8704 | 2020-09-16 |
| 1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
| 1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
| 1255959573 | Kathryn Allman | Nurse Practitioner | 104 Brighton Ct, Chapel Hill, NC 27516-9005 | 2020-07-13 |
| 1326665142 | Mary Ann Todd | Nurse Practitioner | 5508 7 Lks W, West End, NC 27376-9336 | 2020-06-27 |
| 1538785118 | Amanda S. Morgan | Nurse Practitioner | 600 Hospital Dr Ste 9, Clyde, NC 28721-8046 | 2020-06-19 |
| 1508480823 | Lauren Elizabeth Barkley | Nurse Practitioner | 10207 Cerny St Ste 200, Raleigh, NC 27617-4880 | 2020-06-02 |
| 1265055271 | Pamela Duncan | Nurse Practitioner | 120 N Medical Dr Unc-ch Son: Carrington Hall, Chapel Hill, NC 27599-7460 | 2020-05-26 |
| 1689297715 | Heather Bryce Futrell | Nurse Practitioner | 115 Joe Kanaris Rd, Rockingham, NC 28379-8063 | 2020-05-23 |
| 1871116103 | Lynn Chanell Hicks | Nurse Practitioner | 3221 Nontucket Ln, Hope Mills, NC 28348-9054 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | GRIMESLAND |
| Zip Code | 27837 |
Please comment or provide details below to improve the information on CHARLEY TYRE.
| 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.