MARY NIEMCZURA (NPI# 1609402353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609402353 |
| Entity Type | Individual |
| Full Name | MARY NIEMCZURA |
| Practice Address |
3803 N Elm St Greensboro NC 27455-2593 |
| Mailing Address |
9900 Bern Road East Mail Route Mn 008-b213 Minnetonka MN 55343 |
| Practice Telephone | 3369999999 |
| Mailing Telephone | 9999999999 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5013114 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3803 N ELM ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455-2593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578564803 | Janet L Poindexter | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2005-08-09 |
| 1205461977 | Theresa Oluoma Ejindu | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2020-03-03 |
| 1942857560 | Elisabeth Ashley Larson | Registered Nurse | 3803 N Elm St, Greensboro, NC 27455-2593 | 2019-08-19 |
| 1912569518 | Jon A Royals | Hearing Instrument Specialist | 3803 N Elm St, Greensboro, NC 27455-2593 | 2019-07-03 |
| 1598236762 | Tiffany Suber | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-12-16 |
| 1306316179 | Carrie Elizabeth Avery Burleson | Registered Nurse | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-12-04 |
| 1659848158 | Cynthia Ann Smith | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-11-01 |
| 1205301512 | Sheila Thornton Whitman | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-10-12 |
| 1194290403 | Alicia Bayse | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455-2593 | 2018-10-12 |
| 1861975492 | Queeneth Chibuzo Mbemena | Nurse Practitioner | 3803 N Elm St, Greensboro, NC 27455 | 2018-09-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789793 | Sarah Clegg Slack | Nurse Practitioner | 912 3rd St # 101, Greensboro, NC 27405-6967 | 2019-09-17 |
| 1881243558 | Kathryn Strup | Nurse Practitioner | 1317 N Elm St Ste 7, Greensboro, NC 27401-1023 | 2019-09-05 |
| 1174989792 | Elysa C. Graham | Nurse Practitioner | 1919 Boulevard St Ste A, Greensboro, NC 27407-4595 | 2016-01-12 |
| 1588033195 | Maria S. Gaddy | Nurse Practitioner | 1000 Cowles Clinc Way Ste M-200, Greensboro, GA 30642-4541 | 2015-09-24 |
| 1689042038 | Caroline Tedder Hacker | Nurse Practitioner | 300 E Wendover Ave, Suite 400, Greensboro, NC 27401-1229 | 2015-09-02 |
| 1659700177 | Jerry Keith Edwards | Nurse Practitioner | 501 Hickory Branch Rd, Greensboro, NC 27409-9601 | 2013-11-05 |
| 1609185255 | Yolanda Mcclam Nicholson | Nurse Practitioner | 112 N Benbow Road, Greensboro, NC 27411-7299 | 2010-09-30 |
| 1740594357 | Karen M Black | Nurse Practitioner | 1200 N Elm St Ste 3509, Greensboro, NC 27401-1004 | 2010-08-06 |
| 1235397738 | Russell Lee Welch | Nurse Practitioner | 510 N.elam Ave, Ste 302, Greensboro, NC 27403 | 2008-05-30 |
| 1174614259 | Vrinda Villa Pickering | Nurse Practitioner | 1200 North Elm Street, Greensboro, NC 27401-1004 | 2006-09-27 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
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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.