EUSHEAKIA BLAKENEY


Address: 1190 W Roosevelt Blvd, Monroe, NC 28110-2818
Phone: 7042966200

EUSHEAKIA BLAKENEY (NPI# 1649731514) 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) 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

Taxonomy

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

Office Location

Street Address 1190 W ROOSEVELT BLVD
City MONROE
State NC
Zip Code 28110-2818

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City MONROE
Zip Code 28110

Improve Information

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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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