EAST CAROLINA UNIVERSITY (NPI# 1760559926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760559926 |
| Entity Type | Organization |
| Organization Name | EAST CAROLINA UNIVERSITY |
| Other Organization Name | STUDENT HEALTH SERVICE |
| Practice Address |
1001 East Fifth Street Greenville NC 27858-4353 |
| Practice Telephone | 2527372821 |
| Practice Fax Number | 2523284397 |
| Mailing Telephone | 2527372821 |
| Mailing Fax Number | 2523284397 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2009-04-21 |
| Authorized Official Name | MRS. JOLENE C JERNIGAN (DIRECTOR) |
| Authorized Official Telephone | 2527372821 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1000X |
Clinic/Center Specialization: Student Health |
15179 | NC | Ambulatory Health Care Facilities |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200196 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Student Health Service | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396989133 | East Carolina University | Community/Behavioral Health | College of Allied Health Sciences-ecu, Dars - Navigate Counseling Clinic, Greenville, NC 27858-4353 | 2009-04-23 |
| 1760507990 | East Carolina University | Social Worker | Irons Building-oglesby Dr., Greenville, NC 27858 | 2007-03-20 |
| 1770622797 | East Carolina University | Pharmacy | 270 Easy St, Greenville, NC 27834-9012 | 2007-02-06 |
| 1033161575 | East Carolina University | Family Medicine | Family Medicine Center, Moye Blvd., Greenville, NC 27858 | 2006-05-16 |
| 1720039241 | East Carolina University | Family Medicine | Viquest, 2610 Stantonsburg Road, Greenville, NC 27835 | 2006-05-12 |
| 1558312934 | East Carolina University | Audiologist | Ecu, Belk Annex 5, Dept. of Communication Sciences & Disorders, Greenville, NC 27858 | 2006-05-12 |
| 1114978517 | East Carolina University | Family Medicine | Human Performance Lab, 363 Ward Sports Medicine Building, Greenville, NC 27858 | 2006-05-12 |
| 1649229667 | East Carolina University | Family Medicine | 110 Railroad Street, Bethel Family Medicine Center, Bethel, NC 27812 | 2006-05-08 |
| 1851853592 | East Carolina University | Family Medicine | 101 Heart Dr, Greenville, NC 27834-8982 | 2019-04-02 |
| 1982028759 | East Carolina University | Dentist | 316 County Services Park, Ecu School of Dental Medicine, Sylva, NC 28779 | 2014-02-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EAST CAROLINA UNIVERSITY | 1000 E 5th St, Greenville, NC 27858-2502 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY | 105 Spilman Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY ALUMNI ASSOCIATION, INC. | 901 East 5th St, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY EDUCATIONAL FOUNDATION, INC. | 304 Ward Sports Medicine Bldg, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY FOUNDATION, INC. | 2200 South Charles Blvd Mail Stop 301, Greenville, NC 27858 |
| Oklahoma Business Registrations | EAST CAROLINA UNIVERSITY MEDICAL & HEALTH SCIENCES FOUNDATION, INC. | 525 Moye Blvd, Greenville, NC 27834 |
| Street Address |
1001 EAST FIFTH STREET |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-4353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912052473 | Jennifer Stancil Williams | Pharmacist | 1001 East Fifth Street, Greenville, NC 27858 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234237 | Vb Medical Group LLC | Nurse Practitioner | 10047 Whispering Wind Dr, Greenville, IN 47124-9704 | 2020-10-29 |
| 1700403276 | Carolyn Lisa Fry | Nurse Practitioner | 500 Baylor Dr Apt Suite, Greenville, TX 75402-8005 | 2020-07-01 |
| 1033744701 | Jennifer C Carpenter | Nurse Practitioner | 2018 County Road 3318, Greenville, TX 75402-5268 | 2020-03-03 |
| 1659904183 | Joante Kirk | Nurse Practitioner | 1699 S Main St, Greenville, MS 38701-7364 | 2020-02-12 |
| 1578103859 | Michelle Earley | Nurse Practitioner | 4221 Ridgecrest Rd Ste 107, Greenville, TX 75402-6015 | 2020-01-14 |
| 1871138149 | Paola Andrea Mora Tobon | Nurse Practitioner | 200 Patewood Dr Ste 320, Greenville, SC 29615-3593 | 2019-11-11 |
| 1144863895 | Rashemia Latricia Suber | Nurse Practitioner | 814 Riviera Cir N, Greenville, MS 38701-8029 | 2019-10-25 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1487116745 | Megan Rogers Semanski | Nurse Practitioner | 890 W Faris Rd Ste 510, Greenville, SC 29605-4286 | 2019-04-04 |
| 1053884247 | Renee L Bridges | Nurse Practitioner | 10 Enterprise Blvd Ste 202, Greenville, SC 29615-3554 | 2019-01-10 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
Please comment or provide details below to improve the information on EAST CAROLINA UNIVERSITY.
| 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.