MS. ELAINE YOUNGMAN (NPI# 1720091333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720091333 |
| Entity Type | Individual |
| Full Name | MS. ELAINE YOUNGMAN |
| Other Name | ELAINE PHETTEPLACE |
| Credential | CNS |
| Practice Address |
3024 New Bern Ave Suite 301 - Internal Medicine Raleigh NC 27610-1247 |
| Mailing Address |
3024 New Bern Ave Suite 300 Raleigh NC 27610-1247 |
| Practice Telephone | 9193507993 |
| Practice Fax Number | 9193507988 |
| Mailing Telephone | 9193508228 |
| Mailing Fax Number | 9193507976 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 115567 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6004015 | 05 |
| Street Address |
3024 NEW BERN AVE SUITE 301 - INTERNAL MEDICINE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664924 | Lynn M Rebello | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610 | 2005-07-28 |
| 1275158206 | Alejandro Ramirez Lopez | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2020-06-16 |
| 1588225759 | Wakemed Specialists Group, LLC | Preventive Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1821659079 | Sharon Elizabeth Booth | Physician Assistant | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-06-27 |
| 1790343366 | Wakemed Specialists Group LLC | Pediatrics | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-30 |
| 1225693419 | Wakemed Specialists Group LLC | Surgery | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1720643927 | Wakemed Specialists Group, LLC | Otolaryngology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1649835836 | Wakemed Specialists Group, LLC | Internal Medicine | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1205491487 | Wakemed Specialists Group LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1639734817 | Wakemed Specialists Group, LLC | Nutritionist | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235119 | Melissa V Moreda | Clinical Nurse Specialist | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427431238 | Western Carolina Digestive Consultants | Clinical Nurse Specialist | 212 Dobson Mountain Rd, Franklin, NC 28734-8444 | 2015-06-30 |
| 1396046579 | Aletha Leone Beidler | Clinical Nurse Specialist | 4302 Windlestraw Ln., Greensboro, NC 27410-9081 | 2010-11-04 |
| 1760483366 | Nancy Lancaster Smith | Clinical Nurse Specialist | 975 Walnut St, 207, Cary, NC 27511-4268 | 2005-08-03 |
| 1851395768 | Barbara A. Crosby | Clinical Nurse Specialist | 1100 Tunnel Rd, Bldg. 70, Asheville, NC 28805-2576 | 2005-06-08 |
| 1396203535 | Kathy Shaffer | Clinical Nurse Specialist | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2019-03-06 |
| 1790229623 | Stephanie Tran | Clinical Nurse Specialist | 2131 S 17th St, Wilmington, NC 28401-7407 | 2016-12-12 |
| 1619046877 | Andrea H Hinson | Clinical Nurse Specialist | 125 Hospital Drive, Spruce Pine, NC 28777 | 2006-11-06 |
| 1477641116 | Theresa E Raphael-grimm | Clinical Nurse Specialist | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-10-10 |
| 1689683781 | Barbara M Usher | Clinical Nurse Specialist | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-08-07 |
| 1780605170 | Jean Rinkacs Denne | Clinical Nurse Specialist | 1501 Medical Center Dr, Wilmington, NC 28401-7506 | 2006-07-21 |
| 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.