GENE SHIRLEY (NPI# 1669592804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669592804 |
| Entity Type | Individual |
| Full Name | GENE SHIRLEY |
| Credential | ROF |
| Practice Address |
1840 Owen Dr Ste 102 Fayetteville NC 28304-3455 |
| Practice Telephone | 9104842645 |
| Practice Fax Number | 9104840866 |
| Mailing Telephone | 9104842645 |
| Mailing Fax Number | 9104840866 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7795271 | 05 |
| Street Address |
1840 OWEN DR STE 102 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861566747 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 1840 Owen Dr Ste 102, Fayetteville, NC 28304-3455 | 2006-11-20 |
| 1578683702 | Kurt J Light | Orthotist | 1840 Owen Dr Ste 102, Fayetteville, NC 28304-3455 | 2007-03-30 |
| 1548380785 | Sharon Wilson | Orthotic Fitter | 1840 Owen Dr Ste 102, Fayetteville, NC 28304-3455 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942319553 | Kathy Sue Foust | Orthotic Fitter | 234 Owen Drive, Total Rehab Orthotics & Prosthetics Inc, Fayetteville, NC 28304 | 2006-08-29 |
| 1609847847 | Barron Tracy South | Orthotic Fitter | 505 E Double Eagle Pl, Fayetteville, AR 72701-7143 | 2006-01-27 |
| 1841746385 | Irvin Eugene Thomas | Orthotic Fitter | 234 Owen Dr, Fayetteville, NC 28304-3414 | 2016-08-25 |
| 1528335239 | David A Cloud | Orthotic Fitter | 234 Owen Dr, Fayetteville, NC 28304-3414 | 2011-11-23 |
| 1457591414 | Heather Foust Marchant | Orthotic Fitter | 234 Owen Dr, Fayetteville, NC 28304-3414 | 2009-03-03 |
| 1548380785 | Sharon Wilson | Orthotic Fitter | 1840 Owen Dr Ste 102, Fayetteville, NC 28304-3455 | 2007-03-30 |
| 1700985595 | Joyce Thompson Ramos | Orthotic Fitter | 234 Owen Drive, Total Rehab Orthotics & Prosthetics Inc, Fayetteville, NC 28304 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
| 1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
| 1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
| 1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
| 1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
| 1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
| 1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
| 1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
| 1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
| 1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.