DONALD DWAYNE LOCKLEAR X (NPI# 1639734197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639734197 |
| Entity Type | Individual |
| Full Name | DONALD DWAYNE LOCKLEAR X |
| Practice Address |
307 E Wardell Dr Pembroke NC 28372-7998 |
| Mailing Address |
60 Commerce Plaza Cir Pembroke NC 28372-7386 |
| Practice Telephone | 9105212816 |
| Practice Fax Number | 9105213583 |
| Mailing Telephone | 9105212900 |
| Mailing Fax Number | 9107759165 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2020-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
240044 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
307 E WARDELL DR |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-7998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952300980 | Robin Kay Emanuel | Nurse Practitioner | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2005-07-20 |
| 1689226920 | Brandy Nichole Long | Nurse Practitioner | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2019-07-16 |
| 1225500036 | Donna Jean Oxendine-dial | Pharmacist | 307 E Wardell Dr, Pembroke, NC 28372 | 2018-12-19 |
| 1225514813 | Natasha Jones Kinto | Counselor | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2018-07-17 |
| 1295180206 | Cari Susann Mayers | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372 | 2016-04-27 |
| 1861870149 | Christopher L Bullard | Counselor | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2015-05-07 |
| 1366878571 | Robeson Health Care Corporation | Pharmacy | 307 E Wardell Dr, Pembroke, NC 28372 | 2013-09-19 |
| 1467767053 | Suzette Renee Oxendine | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2010-08-09 |
| 1750348538 | Robeson Health Care Corporation | Counselor | 307 E Wardell Dr, Pembroke, NC 28372 | 2006-04-27 |
| 1902806177 | Jamie Lee Morgan | Physician Assistant | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132433 | Jolene Carol Schmucker | Nurse Practitioner | 775 Pembroke Fairview Rd, Pembroke, KY 42266-9413 | 2020-10-20 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1295092716 | Pamela B. Olson | Nurse Practitioner | 133 Bostic Ln, Pembroke, VA 24136-3678 | 2012-04-22 |
| 1366731234 | Teresa U Cayton | Nurse Practitioner | 159 West Railroad Street, Pembroke, GA 31321-0190 | 2011-03-31 |
| 1184611139 | Ella Olehonna Lynch | Nurse Practitioner | 773 Old Main Rd, Pembroke, NC 28372-8753 | 2005-10-04 |
| 1578565164 | Jodella Locklear | Nurse Practitioner | 812 Candy Park Rd Ste 7101-a, Pembroke, NC 28372-9129 | 2005-08-12 |
| 1750384400 | Maxine Blue | Nurse Practitioner | 30 Three Hunts Dr Ste E, Pembroke, NC 28372-7317 | 2005-05-24 |
| 1821624412 | Linnea Francesca Carroll | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359-1981 | 2020-03-16 |
| 1689226920 | Brandy Nichole Long | Nurse Practitioner | 307 E Wardell Dr, Pembroke, NC 28372-7998 | 2019-07-16 |
| Find all providers in PEMBROKE | ||||
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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.