CAROLYN SUE ANDERSON (NPI# 1619229614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619229614 |
| Entity Type | Individual |
| Full Name | CAROLYN SUE ANDERSON |
| Credential | RN, PHMNP |
| Practice Address |
201 Tabernacle Rd Black Mountain NC 28711-2526 |
| Practice Telephone | 8282576200 |
| Practice Fax Number | 8282576268 |
| Mailing Telephone | 8282576200 |
| Mailing Fax Number | 8282576268 |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2020-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 257448 | NC | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | 5005955 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5005955 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932503463 | Carolyn R Anderson | Occupational Therapist | 18504 Bothell Pay Ne, Bothell, WA 98011 | 2014-10-13 |
| 1467899930 | Carolyn Anderson | Social Worker | 2609 S 10th Ave, Caldwell, ID 83605 | 2013-05-24 |
| 1114294410 | Carolyn Jeanne Anderson | Occupational Therapist | 175 Route 32 N, Ulster County Boces, New Paltz, NY 12561-1029 | 2011-11-30 |
| 1417279316 | Carolyn Kennedy Anderson | Counselor | 6138 E Nevada St, Detroit, MI 48234-2610 | 2010-02-18 |
| 1295983732 | Carolyn Anderson | Licensed Practical Nurse | 105 Halsey Ave, Hicksville, NY 11801-4826 | 2008-09-08 |
| 1063639367 | Carolyn Sue Anderson | Massage Therapist | 8243 Knute Ln Nw, Silverdale, WA 98383-8512 | 2007-04-19 |
| 1154814903 | Carolyn Anderson | Occupational Therapist | 3990 John R St, Detroit, MI 48201-2018 | 2018-06-07 |
| 1962950071 | Carolyn M Anderson | Pharmacist | 3558 Main St, Weirton, WV 26062-4508 | 2016-09-17 |
| 1518314194 | Carolyn Anderson | Counselor | 1701 White St, Mccomb, MS 39648-2711 | 2016-05-24 |
| 1619324100 | Carolyn Sue Anderson | General Practice | 3133 E Lemmon Ave, Dallas, TX 75204-1411 | 2016-05-16 |
| Street Address |
201 TABERNACLE RD |
| City | BLACK MOUNTAIN |
| State | NC |
| Zip Code | 28711-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194786459 | Carol H Kaufman | Family Medicine | 201 Tabernacle Rd, Julian F. Keith Alcohol and Drug Abuse Treatment Center, Black Mountain, NC 28711-2526 | 2006-03-28 |
| 1528667763 | Julian F. Keith Adatc Outpatient Services | Community/Behavioral Health | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2020-10-20 |
| 1871133645 | Kathleen Hoppe Smith | Registered Nurse | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2020-01-09 |
| 1548638018 | Kelly German | Nurse Practitioner | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2015-09-14 |
| 1063802999 | Julian F. Keith Alcohol & Drug Abuse Treatment Center | Pharmacy | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2015-01-30 |
| 1326455635 | Veronica Lynn Johnson | Nurse Practitioner | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2014-07-18 |
| 1093149775 | Rocky Beauchane Morris | Counselor | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2013-08-29 |
| 1104071851 | Vivian Ruth Poetter | General Practice | 201 Tabernacle Rd, Jfk Alcohol and Drug Abuse Treatment Center, Black Mountain, NC 28711-2526 | 2008-11-21 |
| 1164675153 | Saeri Lee Wren | Physician Assistant | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2008-11-04 |
| 1679692511 | Wally Sturgis | Physician Assistant | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2007-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910978 | Kelsey Lauren Crabtree | Counselor | 9 Penelope Street, Black Mountain, NC 28711 | 2020-07-26 |
| 1053839068 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 540 Nc 9 Hwy, Black Mountain, NC 28711 | 2017-08-30 |
| 1487037495 | Marian Cook | Occupational Therapist | 611 Old Us Hwy 70e, Mountain Ridge Skilled Nursing, Black Mtn, NC 28711 | 2015-07-08 |
| 1457696361 | Black Mountain Physical Therapy, LLC | Clinic/Center | 997 W Old Us 70 Hwy, Black Mountain, NC 28711 | 2012-12-04 |
| 1982948550 | Givens Highland Farms, LLC | Skilled Nursing Facility | 200 Tabernacle Road, Black Mountain, NC 28711 | 2012-11-20 |
| 1639480312 | Kathleen Bradley Shannon | Counselor | 15 Jane Jacobs Rd Ste 102, Black Mountain, NC 28711 | 2010-06-28 |
| 1821117482 | Katherine Edwards Milam | Technician/Technologist | 145a Old Hwy 70 East, Black Mountain, NC 28711 | 2007-03-28 |
| 1932247079 | R. Bruce Kelly | Family Medicine | 932 Old Hwy 70 West, Black Mountain, NC 28711 | 2007-02-01 |
| 1275679474 | Black Mountain Neuro-medical Treatment Center | Skilled Nursing Facility | 932 Old Us 70, Black Mountain, NC 28711 | 2007-01-29 |
| 1992851331 | Julian F Keith Alcohol and Drug Abuse Treatment Center | Psychiatric Hospital | 201 Tabernacle Road, Black Mountain, NC 28711 | 2007-01-26 |
| Find all providers in zip 28711 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548638018 | Kelly German | Nurse Practitioner | 201 Tabernacle Rd, Black Mountain, NC 28711-2526 | 2015-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730078 | Leetisha Lawana Dunia | Nurse Practitioner | 538 Wood Point Dr, Lillington, NC 27546-5971 | 2020-11-06 |
| 1881292134 | Jurell Kirice Riley | Nurse Practitioner | 6301 Dumont Ln, Charlotte, NC 28269-6147 | 2020-10-09 |
| 1336756899 | Jennifer Danks | Nurse Practitioner | 1845 Keener Rd, Clinton, NC 28328-8039 | 2020-09-29 |
| 1376159400 | Ronald Jerome Patterson Jr. | Nurse Practitioner | 4204 Banks Stone Dr, Raleigh, NC 27603-4860 | 2020-09-23 |
| 1902411499 | Solari Mental and Behavioral Health Services | Nurse Practitioner | 11206 Highcrest Dr, Huntersville, NC 28078-0610 | 2020-09-10 |
| 1699389684 | Lasting Hope - Mental Health & Recovery | Nurse Practitioner | 131 Fiddlers Run Blvd, Morganton, NC 28655-0095 | 2020-09-07 |
| 1588277727 | Alison Stroh | Nurse Practitioner | 1313 Banyon Grove Loop, Cary, NC 27513-3936 | 2020-08-27 |
| 1902417488 | Erin Klender Pllc | Nurse Practitioner | 12106 Willingdon Rd, Huntersville, NC 28078-5520 | 2020-08-10 |
| 1407466824 | Theresa Uju Ofoemezie | Nurse Practitioner | 250 S San Agustin Dr, Mooresville, NC 28117-8581 | 2020-08-01 |
| 1669090213 | Rashonda R. Wheeler | Nurse Practitioner | 8949 Cinnabay Dr, Charlotte, NC 28216-2189 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | BLACK MOUNTAIN |
| Zip Code | 28711 |
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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.