MRS. LOIS ANN WALTERS SULLIVAN (NPI# 1659354777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659354777 |
| Entity Type | Individual |
| Full Name | MRS. LOIS ANN WALTERS SULLIVAN |
| Credential | ANP |
| Practice Address |
2503 N Queen St Kinston NC 28501-1632 |
| Practice Telephone | 2525236000 |
| Practice Fax Number | 2525278500 |
| Mailing Telephone | 2525236000 |
| Mailing Fax Number | 2525278500 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 300327 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7000990 | 05 |
| Street Address |
2503 N QUEEN ST |
| City | KINSTON |
| State | NC |
| Zip Code | 28501-1632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932516267 | Vikram Gahlot | Internal Medicine | 2503 N Queen St, Kinston, NC 28501-1632 | 2014-07-18 |
| 1649528662 | Carolinaeast Physicians | Internal Medicine | 2503 N Queen St, Kinston, NC 28501-1632 | 2012-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912428780 | Latasha Carr | Counselor | 120 Lenoir Str, B, Kinston, NC 28501 | 2017-07-03 |
| 1598295107 | Craig A Marva | Dentist | 1104 West Vernon Ave., Kinston, NC 28501 | 2017-06-15 |
| 1235535238 | Rachel Krueger | Pharmacist | 201 West Vernon Ave, Kinston, NC 28501 | 2014-11-18 |
| 1457773020 | Abigail L Hemmings | Physician Assistant | 2509 North Queen Street, Kinston, NC 28501 | 2014-01-15 |
| 1730521063 | Courtney Mitchell Iv | Dentist | 2500 N Herritage St., Suite A, Kinston, NC 28501 | 2013-07-29 |
| 1023459757 | Courtney Mitchell, IIi Dds Pa | Dentist | 2500 N. Herritage St., Suite A, Kinsten, NC 28501 | 2013-07-10 |
| 1558609602 | Jessica Meria Hendricks | Counselor | 400 Glenwood Ave Ste 2, Kinston, NC 28501 | 2013-01-24 |
| 1871853523 | Bethany Mckittrick Griffin | Pharmacist | 300 North Queen Street, Kinston, NC 28501 | 2012-05-29 |
| 1750647574 | Peter K Hobler | Counselor | 2902 N. Heritage Street, Kinston, NC 28501 | 2012-04-05 |
| 1568732154 | Michael Dion Smallwood | Counselor | 2902 A North Heritage St, Kinston, NC 28501 | 2012-01-12 |
| Find all providers in zip 28501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568447167 | Gretchen P Vick | Nurse Practitioner | 313 Airport Rd, Kinston, NC 28501 | 2005-12-07 |
| 1003453424 | Matthew Fischer | Nurse Practitioner | 2150 Hull Rd, Kinston, NC 28504-2052 | 2019-12-04 |
| 1326539446 | Sandra Jeanne Lott | Nurse Practitioner | 324 N Queen St, Kinston, NC 28501-4932 | 2018-05-24 |
| 1992259006 | Monica Campbell-nelson | Nurse Practitioner | 324 N Queen St, Kinston, NC 28501-4932 | 2016-08-05 |
| 1275907396 | Michael Jay Smith | Nurse Practitioner | 100 Airport Rd, Kinston, NC 28501-1604 | 2015-12-01 |
| 1578946729 | Kimberly C Wade | Nurse Practitioner | 744 Airport Rd, Kinston, NC 28504-8800 | 2015-07-07 |
| 1407269426 | Victoria Conway | Nurse Practitioner | 701 Doctors Dr, Suite N, Kinston, NC 28501-1589 | 2014-06-06 |
| 1740513308 | Sherry Daughety Smith | Nurse Practitioner | 313 Airport Rd, Kinston, NC 28504-8209 | 2009-09-15 |
| 1578664504 | Marsha Ann Lovick | Nurse Practitioner | 324 N Queen Street, Kinston, NC 28501-4932 | 2006-09-25 |
| 1629012992 | Pamela W Slaven-lee | Nurse Practitioner | 701 Doctors Dr, Suite N, Kinston, NC 28501-1584 | 2006-06-16 |
| Find all providers in KINSTON | ||||
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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.