TRISTA S BRODIE (NPI# 1750853362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750853362 |
| Entity Type | Individual |
| Full Name | TRISTA S BRODIE |
| Practice Address |
4302 Nc 210 Smithfield NC 27522-2752 |
| Mailing Address |
Po Box 100 Knightdale NC 27545-0100 |
| Practice Telephone | 9196099390 |
| Mailing Telephone | 9196099390 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 0000000000 | NC | Behavioral Health & Social Service Providers |
| N | 372600000X | Adult Companion | 0000000000 | NC | Nursing Service Related Providers |
| N | 376J00000X | Homemaker | 0000000000 | NC | Nursing Service Related Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 0000000000 | NC | Other Service Providers |
| N | 405300000X | Prevention Professional | 0000000000 | NC | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | CODE | 1774 | 01 |
| Street Address |
4302 NC 210 |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27522-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606122 | A Will To Live Home Health, LLC | Nursing Care | 109 South Elm Street Unit C, Creedmoor, NC 27522 | 2020-07-12 |
| 1255794152 | Corey Coles | Family Medicine | 2503 E Lyon Station Rd # 2, Creedmoor, NC 27522 | 2016-03-30 |
| 1033473038 | Heather Thompson Currin | Counselor | 102 N Main Street, Creedmoor, NC 27522 | 2012-06-25 |
| 1639439664 | Tonya N Daniel | Lactation Consultant, Non-RN | 2695 Horseshoe Road, Creedmoor, NC 27522 | 2012-05-24 |
| 1992098776 | Syam Bandi | Pharmacist | 1560 High Way 56, Creedmoor, NC 27522 | 2011-05-26 |
| 1568698272 | Jane Carolyn Crowder | Counselor | 2651 Tar River Road, Creedmoor, NC 27522 | 2009-06-09 |
| 1316188550 | North Carolina Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 612 N. Main St., Creedmoor, NC 27522 | 2009-03-18 |
| 1447388863 | Scott D. Mims | Counselor | 2150 Highway #56 East, Creedmoor, NC 27522 | 2007-02-28 |
| 1720120603 | Patricia Dillard Jones | Counselor | 2150 Hwy 56 E, Creedmoor, NC 27522 | 2007-02-13 |
| 1851458327 | Triangle Advanced Diagnostic Imaging. | Clinical Medical Laboratory | 122 West Church Street, Creedmoor, NC 27522 | 2007-01-03 |
| Find all providers in zip 27522 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891166013 | Family Service of Rhode Island, Inc. | Social Worker | 445 Farnum Pike, Smithfield, RI 02917-1023 | 2015-10-14 |
| 1619246238 | Latresha Sade Artis | Social Worker | 1329 N. Brightleaf Blvd., Suite A-1, Pathways To Life, Inc., Smithfield, NC 27577-7262 | 2011-12-28 |
| 1073677464 | Emily Jung Cornforth | Social Worker | 189 Village Rd, Smithfield, ME 04978-3403 | 2006-12-20 |
| 1841564028 | Adolpha Bassett | Social Worker | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2012-03-06 |
| 1235256389 | Sara Anne Smith | Social Worker | 521 N Brightleaf Blvd, Smithfield, NC 27577-4407 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699375477 | Diane Carol Rambeau | Social Worker | 6547 Ramsey Ford Rd, Tabor City, NC 28463-9316 | 2020-10-29 |
| 1710593942 | Louise Hudak Pllc | Social Worker | 610 Lynndale Ct Ste D, Greenville, NC 27858-5400 | 2020-09-22 |
| 1538772942 | Sharelle Johnson | Social Worker | 5304 Firelight Ln Unit E, Charlotte, NC 28212-2277 | 2020-08-25 |
| 1801408810 | Rachel Kate Cockrell | Social Worker | 7204 Indian Rock Rd, Wendell, NC 27591-7643 | 2020-08-20 |
| 1811508450 | Wesley Williams | Social Worker | 975 Ramsgate Dr Sw, Concord, NC 28025-9222 | 2020-08-16 |
| 1902423924 | Jacob Wiltshire | Social Worker | 101 E Wt Harris Blvd Ste 5500, Charlotte, NC 28262-3485 | 2020-06-26 |
| 1730705294 | Armani Vance | Social Worker | 3016 Phillips Fairway Dr, Charlotte, NC 28216-6807 | 2020-06-22 |
| 1033734991 | Delia Sumter | Social Worker | 2113 Speedwell Court, Charlotte, NC 28213-4228 | 2020-06-16 |
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1821627563 | Quinevere Inez Simmons | Social Worker | 4904 Garrett Rd Apt 102, Durham, NC 27707-5977 | 2020-04-04 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27522 |
Please comment or provide details below to improve the information on TRISTA S BRODIE.
| 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.