EVERGREEN EMMEJUNE HAVERKAMP (NPI# 1700495553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700495553 |
Entity Type | Individual |
Full Name | EVERGREEN EMMEJUNE HAVERKAMP |
Credential | FNP |
Practice Address |
545 Schultz Cir Newland NC 28657-7714 |
Mailing Address |
130 Forest Service Dr Bakersville NC 28705-7080 |
Practice Telephone | 8287336031 |
Mailing Telephone | 8287652239 |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-08-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 26418 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5013412 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
545 SCHULTZ CIR |
City | NEWLAND |
State | NC |
Zip Code | 28657-7714 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568918357 | Jennifer Pierce | Dentist | 504 Pineola St., Newland, NC 28657 | 2016-08-31 |
1376902791 | County of Avery | Home Delivered Meals | 165 Shultz Circle, Newland, NC 28657 | 2016-02-12 |
1396048401 | James Royce Lehmann | Physical Therapist | 232 Sam Brewer Rd, Newland, NC 28657 | 2010-12-10 |
1598963688 | Linville-central Rescue Squad, Inc. | Emergency Medical Technician, Paramedic | 1940 Linville Falls Highway, Newland, NC 28657 | 2007-07-10 |
1699805739 | Avery County Department of Social Services | Social Worker | 175 Linville St., Newland, NC 28657 | 2007-03-07 |
1417095670 | Raymomd William Kenyon | Counselor | 180 Longview Rd., Newland, NC 28657 | 2007-02-01 |
1043370166 | Medical Services of America, Inc | Hospice Care, Community Based | 1955 Newland Hwy, Newland, NC 28657 | 2006-12-11 |
1629137773 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 325 Pineola St, Newland, NC 28657 | 2006-12-06 |
1225110505 | Jonathan Ashley Lindsey | Dentist | 1632 Millers Gap Hwy, Newland, NC 28657 | 2006-10-19 |
1356449797 | Carter William Wiseman | Dentist | 330 Linville St, Newland, NC 28657 | 2006-09-20 |
Find all providers in zip 28657 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386106888 | Katelind Ingalls | Nurse Practitioner | 436 Hospital Dr Ste 230, Newland, NC 28657-8096 | 2019-04-03 |
1497292254 | Erin Marie Hively | Nurse Practitioner | 448 Cranberry St, Newland, NC 28657-8800 | 2017-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
Find all providers with the same taxonomy |
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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.