JEREMIAH KEENE (NPI# 1720542590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720542590 |
Entity Type | Individual |
Full Name | JEREMIAH KEENE |
Practice Address |
1236 Huffman Mill Rd Ste 130 Burlington NC 27215-8700 |
Mailing Address |
6811 Seattle Slew Pl Whitsett NC 27377-6001 |
Practice Telephone | 3364381060 |
Practice Fax Number | 3364381077 |
Mailing Telephone | 3365546181 |
Enumeration Date | 2019-01-25 |
Last Update Date | 2019-01-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
5011397 | NC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1236 HUFFMAN MILL RD STE 130 |
City | BURLINGTON |
State | NC |
Zip Code | 27215-8700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245673284 | Brian B Agbor-etang | Internal Medicine | 1236 Huffman Mill Rd Ste 130, Burlington, NC 27215-8700 | 2013-04-09 |
1023570538 | Jacquelyn Diane Visser | Physician Assistant | 1236 Huffman Mill Rd Ste 130, Burlington, NC 27215-8700 | 2019-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
Find all providers in zip 27215 |
Taxonomy Code | 363LC0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Critical Care Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710412762 | Dana Graves Blakeney | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2017-04-27 |
1700896677 | Katherine Ellen Bird | Nurse Practitioner | 111 Colchester Ave, Patrick 204, Burlington, VT 05401-1473 | 2006-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265049316 | Cherith Godwin | Nurse Practitioner | Duke Medicine Pavilion 8th Floor, Durham, NC 27710-0001 | 2020-09-23 |
1588148761 | Sarah P Mccormick | Nurse Practitioner | 10 Duke Medicine Cir # 6e, Durham, NC 27710-1000 | 2018-09-24 |
1790198836 | Amy Michelle Shing | Nurse Practitioner | Duke Univeristy Hospital, Dumc 3458 Rm 04283, Durham, NC 27710-0001 | 2014-06-06 |
1215536784 | Jessica Small Jarvis | Nurse Practitioner | 10 Duke Medicine Cir Fl 8, Durham, NC 27710-1000 | 2020-10-25 |
1033756531 | Draia Garavito | Nurse Practitioner | 170 Manning Dr, Chapel Hill, NC 27514-4221 | 2019-12-03 |
1083108419 | Brian Roy Erickson | Nurse Practitioner | 1450 Matthews Township Pkwy Ste 380, Matthews, NC 28105 | 2018-06-19 |
1568966364 | Staci Christina Kay | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-03-19 |
1538661236 | Jamie T Douthit | Nurse Practitioner | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-03-08 |
1508368150 | Andrea Eudy | Nurse Practitioner | 612 Mocksville Ave, Salisbury, NC 28144-2732 | 2018-02-28 |
1801397062 | Paula Brooke Simpson | Nurse Practitioner | 520 N Elam Ave, Greensboro, NC 27403-1127 | 2018-02-23 |
Find all providers with the same taxonomy |
City | BURLINGTON |
Zip Code | 27215 |
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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.