EUSHEAKIA BLAKENEY (NPI# 1649731514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649731514 |
Entity Type | Individual |
Full Name | EUSHEAKIA BLAKENEY |
Other Name | EUSHEAKIA WITHERSPOON |
Practice Address |
1190 W Roosevelt Blvd Monroe NC 28110-2818 |
Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
Practice Telephone | 7042966200 |
Practice Fax Number | 7042964669 |
Mailing Telephone | 7049391100 |
Mailing Fax Number | 7049391173 |
Enumeration Date | 2019-03-25 |
Last Update Date | 2019-03-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
90565 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1190 W ROOSEVELT BLVD |
City | MONROE |
State | NC |
Zip Code | 28110-2818 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164418125 | Devendra C. Shah | Psychiatry & Neurology | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2005-09-26 |
1235742610 | Kirsten Deann Cole | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-08-26 |
1588283816 | Brianna Jayde Russell | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-04-16 |
1346874773 | Krista M Capobianco | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-02-25 |
1386278794 | Megan Small | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-02-24 |
1710523196 | Clarissa Anita Elmore | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-11-21 |
1730640517 | Haley Bradley | Marriage & Family Therapist | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-03-26 |
1205397197 | Kelsey Fish | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110 | 2019-03-25 |
1578034930 | Chelsea Storm Elaann Griffith | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110 | 2018-12-11 |
1558837047 | Margaret Mendenhall | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2018-10-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
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Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750777827 | Janice P. Holmes | Clinical Nurse Specialist | 87 Georges Ln, Monroe, CT 06468-3138 | 2015-04-15 |
1467005033 | Judy Foster Pinnock | Clinical Nurse Specialist | 1408 E Franklin St, Monroe, NC 28112-5160 | 2019-07-22 |
1942737846 | Katharine Harding | Clinical Nurse Specialist | 1408 E Franklin St, Monroe, NC 28112-5160 | 2017-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023393410 | Cathy Showfety Inc. | Clinical Nurse Specialist | 408 1/2 State St, Greensboro, NC 27405-5657 | 2011-10-17 |
1699078246 | Mary Lynn Piven | Clinical Nurse Specialist | 365 Highway 87 N, Pittsboro, NC 27312 | 2010-12-20 |
1316130990 | Kelly L Smedley | Clinical Nurse Specialist | 5318 Highgate Dr Ste 231, Durham, NC 27713-6631 | 2007-08-27 |
1922210558 | William Garrett Stone | Clinical Nurse Specialist | 309 W Weaver St, Suite 200, Carrboro, NC 27510-6005 | 2007-05-04 |
1609992007 | Carol Faye Peindl | Clinical Nurse Specialist | 12617 Kencot Ct, Huntersville, NC 28078-5715 | 2007-03-21 |
1679667133 | Deborah Herring Perry | Clinical Nurse Specialist | 208 Malloy Street, Unit E, Goldsboro, NC 27534 | 2006-10-02 |
1154374478 | Bonnie Kennedy | Clinical Nurse Specialist | 3518 Drawbridge Pkwy, Greensboro, NC 27410-8432 | 2006-05-18 |
1730152620 | Marianne Mciver | Clinical Nurse Specialist | 234 E Raleigh St, Siler City, NC 27344-3416 | 2006-02-10 |
1194335224 | Teresa Lorraine Fuller | Clinical Nurse Specialist | 130 Carbonton Rd, Sanford, NC 27330-4009 | 2020-08-04 |
1699398529 | Gina Bourne | Clinical Nurse Specialist | 227 N Main St Ste A, Troy, NC 27371-3059 | 2020-05-27 |
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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.