MS. CHELSEY RAE STOVALL (NPI# 1700402674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700402674 |
Entity Type | Individual |
Full Name | MS. CHELSEY RAE STOVALL |
Credential | NP |
Practice Address |
4692 Brownsboro Rd Winston Salem NC 27106-3410 |
Practice Telephone | 3362511114 |
Mailing Telephone | 3362511114 |
Enumeration Date | 2020-06-17 |
Last Update Date | 2020-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
277814 | NC | Nursing Service Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
5013215 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
4692 Brownsboro Rd, Winston Salem, NC 271063410 | 3362511114 |
Street Address |
4692 BROWNSBORO RD |
City | WINSTON SALEM |
State | NC |
Zip Code | 27106-3410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376541581 | Nagaraja Vishakantaiah | Family Medicine | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2005-07-12 |
1073147393 | Kimberly Elizabeth Potter | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2020-02-25 |
1417592080 | Lee Yarber | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-11-07 |
1669015202 | Allona Frazier | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-10-28 |
1063072130 | Danielle Nichole Stovall | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-06-19 |
1407314818 | Erin Maeve Morrison | Physician Assistant | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-03-05 |
1811467871 | Karen Griffin Taylor | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2018-12-03 |
1225527617 | Cassandra Dawn Restrepo | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106 | 2018-05-01 |
1659880516 | Jennifer Winn Powell | Registered Nurse | 4692 Brownsboro Rd, Winston Salem, NC 27106 | 2017-09-23 |
1265950315 | Alexandra Nixon | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106 | 2017-09-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
Find all providers in zip 27106 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174577092 | Kathy Ann Levy | Nurse Practitioner | 3069 Trenwest Dr, Ste 200, Winston Salem, NC 27103-3211 | 2006-05-22 |
1417592080 | Lee Yarber | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-11-07 |
1669015202 | Allona Frazier | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-10-28 |
1265950315 | Alexandra Nixon | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106 | 2017-09-08 |
1316321284 | Jennifer Trumble | Nurse Practitioner | 1 Medical Center Blvd, Transitional and Supportive Care, Winston Salem, NC 27157-0001 | 2015-07-10 |
1679813240 | Rachel Patricia Zimmer | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-02-19 |
1932366077 | Syna Nmn Barber | Nurse Practitioner | 380 Knollwood St # 505, Winston Salem, NC 27103-1884 | 2008-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
1649896150 | Richard Kral | Nurse Practitioner | 1697 Tellico Rd, Franklin, NC 28734-5955 | 2020-06-20 |
1194352963 | Tracy Shabu | Nurse Practitioner | 714 Windy Peak Loop, Cary, NC 27519-1886 | 2020-03-23 |
1871133850 | Stephanie M Canipe | Nurse Practitioner | 802 Woodmoore Ln, Kannapolis, NC 28081-5700 | 2020-01-08 |
1013551076 | Michelle Lowery | Nurse Practitioner | 805 E Peach St, Rowland, NC 28383-8613 | 2019-11-03 |
1629533146 | Kathy Parker Farley | Nurse Practitioner | 69 Darlington Dr, Broadway, NC 27505-9558 | 2019-02-08 |
1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
1619472057 | Allyson Michele Baxter | Nurse Practitioner | 112 W Fire Tower Rd, Winterville, NC 28590-9475 | 2018-03-27 |
1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
1467970160 | Melissa Muller Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 | 2017-09-01 |
Find all providers with the same taxonomy |
City | WINSTON SALEM |
Zip Code | 27106 |
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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.