PATRICIA MCKISSIC (NPI# 1780056820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780056820 |
| Entity Type | Individual |
| Full Name | PATRICIA MCKISSIC |
| Credential | MSN |
| Practice Address |
3604 Shannon Rd Ste 200 Durham NC 27707-6343 |
| Practice Telephone | 9194032122 |
| Mailing Telephone | 9194032122 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5008146 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3604 SHANNON RD STE 200 |
| City | DURHAM |
| State | NC |
| Zip Code | 27707-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093898603 | Jeffrey Miller | Social Worker | 3604 Shannon Rd Ste 200, Durham, NC 27707 | 2006-10-24 |
| 1134747702 | Victoria Leigh Fahnestock | Counselor | 3604 Shannon Rd Ste 200, Durham, NC 27707-6343 | 2020-07-10 |
| 1831654649 | James Henry Feldman | Psychiatry & Neurology | 3604 Shannon Rd Ste 200, Durham, NC 27707-6343 | 2019-02-06 |
| 1639643836 | Alexandra Koch | Physician Assistant | 3604 Shannon Rd Ste 200, Durham, NC 27707-6343 | 2019-01-22 |
| 1548745672 | Nicole Lloyd Johnson | Physician Assistant | 3604 Shannon Rd Ste 200, Durham, NC 27707-6343 | 2018-09-25 |
| 1851424717 | Llewlee Livermore Sawyer | Psychologist | 3604 Shannon Rd Ste 200, Durham, NC 27707 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1518401595 | Lisa Milliger | Nurse Practitioner | 402 Chapel Dr, 214 Page Building, Box 90955, Durham, NC 27708-0955 | 2016-12-12 |
| 1992255871 | Jennifer Sherburne | Nurse Practitioner | 21 Woodman Rd, Durham, NH 03824-2208 | 2016-10-04 |
| 1760702062 | Cheryl Lynnette Giscombe | Nurse Practitioner | 5221 Malik Dr, Durham, NC 27703-9375 | 2010-06-09 |
| 1902405095 | Brandy Clark | Nurse Practitioner | 2511 Old Cornwallis Rd Ste 200, Durham, NC 27713-1869 | 2020-10-20 |
| 1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
| 1073137030 | Elizabeth R Ward | Nurse Practitioner | 4102 Ben Franklin Blvd, Durham, NC 27704-2140 | 2020-06-04 |
| 1174162671 | Matthew Hobbs | Nurse Practitioner | 2213 Elba St, Durham, NC 27705-3934 | 2019-12-31 |
| 1164063566 | Annmarie V Earnhardt | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2019-10-07 |
| 1932750593 | Shalon Evette Bobbitt | Nurse Practitioner | 6011 Fayetteville Rd, Durham, NC 27713-6248 | 2019-09-25 |
| Find all providers in DURHAM | ||||
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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.