BEVERLY MCCORKLE CONDER


Address: 1718 E 4th St Ste 501, Charlotte, NC 28204
Phone: 7043439800

BEVERLY MCCORKLE CONDER (NPI# 1619084647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619084647
Entity Type Individual
Full Name BEVERLY MCCORKLE CONDER
Credential NP
Practice Address 1718 E 4th St Ste 501
Charlotte
NC 28204
Mailing Address Po Box 60447
Charlotte
NC 28260-0447
Practice Telephone 7043439800
Practice Fax Number 7043472011
Mailing Telephone 7043439800
Mailing Fax Number 7043472011
Enumeration Date 2006-08-24
Last Update Date 2020-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 072318 NC Nursing Service Providers
Y 363L00000X Nurse Practitioner 5000682 NC Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 1-130234 AL Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
0050-00682 NC Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 05673386 05
AL BCBS 051118877 01
AL 130679 05
AL VIVA Q53832 01
SC NP0911 05
NC 7003749 05
RAILROAD MEDICARE P00297346 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2000 6th Ave S, Birmingham, AL 352332110 2058018000

Office Location

Street Address 1718 E 4TH ST STE 501
City CHARLOTTE
State NC
Zip Code 28204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982600201 David Beard Internal Medicine 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 2005-06-22
1215584784 Meagan Ann Tremblay Nurse Practitioner 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 2019-08-20
1952894792 Jennifer Erin Singleton Nurse Practitioner 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 2018-06-06
1194184523 Juliana Efua Quagraine Nurse Practitioner 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 2016-02-12
1679992416 Oktay Feridun Rifki Internal Medicine 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 2014-04-09
1568883320 Chelsey Megan Moore Physician Assistant 1718 E 4th St Ste 501, Charlotte, NC 28204 2013-12-21
1982036356 Sophia Abimbola Mitchell Physician Assistant 1718 E 4th St Ste 501, Charlotte, NC 28204 2013-08-07
1366706111 Hakeem Ayinde Internal Medicine 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 2012-06-26
1982960746 Daniel Ke Pu Internal Medicine 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 2012-04-05
1376863910 Thomas Ryan Kambur Internal Medicine 1718 E 4th St Ste 501, Charlotte, NC 28204-3197 2010-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215544986 Tonya Lynn Burris Nurse Practitioner 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 2020-09-28
1003428293 Kashari Davis Nurse Practitioner 4252 Sutwick Dr, Charlotte, NC 28269-6001 2020-08-19
1457972796 Lindsey O'brien Nurse Practitioner 3423 Hornets Nest Way, Charlotte, NC 28208-5224 2020-04-28
1285254904 Barbara Ballard Nurse Practitioner 10731 Haddington Dr Nw, Charlotte, NC 28269-6954 2020-04-22
1710506787 Lindsey Delcasino Plair Nurse Practitioner 1212 South Blvd, Charlotte, NC 28203-4215 2020-04-10
1457991275 Advanced Physical Medicine Nurse Practitioner 8821 University East Dr # 120, Charlotte, NC 28213-4200 2020-01-09
1700447562 Milford Darnell George Jr. Nurse Practitioner 8403 University Executive Park Drive, Suite 685, Charlotte, NC 28262-3330 2019-06-24
1194288241 Tonya Denise Farmer Nurse Practitioner 620 Tom Hunter Road, Charlotte, NC 28213 2019-04-06
1649738204 Brittany Schmalfeld Nurse Practitioner 8943 S Tryon St Unit K, Charlotte, NC 28273-3539 2019-03-03
1407313703 Natalie Ann Bullock Nurse Practitioner 400 E Stonewall St Ste F, Charlotte, NC 28202-3601 2019-02-23
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Competitor

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City CHARLOTTE
Zip Code 28204

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Dataset Information

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.

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