DIANA M. MCKEITHAN (NPI# 1790784619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790784619 |
| Entity Type | Individual |
| Full Name | DIANA M. MCKEITHAN |
| Credential | FNP-C |
| Practice Address |
101 N Walnut St Fairmont NC 28340-1951 |
| Mailing Address |
2600 N Elm St Lumberton NC 28358-3011 |
| Practice Telephone | 9106280655 |
| Practice Fax Number | 9106280158 |
| Mailing Telephone | 9102723051 |
| Mailing Fax Number | 9107383764 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2013-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201754 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 N WALNUT ST |
| City | FAIRMONT |
| State | NC |
| Zip Code | 28340-1951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780688119 | Eugenia Brooks Howie | Family Medicine | 101 N Walnut St, Fairmont, NC 28340-1951 | 2005-06-13 |
| 1679081319 | Eulalia Cidela Barajas-graham | Family Medicine | 101 N Walnut St, Fairmont, NC 28340-1951 | 2018-01-16 |
| 1831646298 | Deidre Chavis Powell | Nurse Practitioner | 101 N Walnut St, Fairmont, NC 28340-1951 | 2016-09-02 |
| 1659508653 | Southeastern Regional Physician Services | Clinic/Center | 101 N Walnut St, Fairmont, NC 28340-1951 | 2009-06-17 |
| 1811965692 | Aundrea Rae Emanuel | Nurse Practitioner | 101 N Walnut St, Fairmont, NC 28340-1951 | 2006-03-09 |
| 1194720466 | Southeastern Regional Medical Center | Clinic/Center | 101 N Walnut St, Fairmont, NC 28340-1951 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
| 1801960083 | Greenbrier Ltc Inc | Assisted Living Facility | 703 South Walnut St, Fairmont, NC 28340 | 2006-11-20 |
| 1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
| 1033221130 | Jeffrey Lemont Hunter | Counselor | 314 S Main St, Fairmont, NC 28340 | 2006-08-31 |
| 1912924648 | Danny Cox | Durable Medical Equipment & Medical Supplies | 234 S Main St, Homecare Medical Products, Fairmont, NC 28340 | 2006-07-17 |
| 1417914722 | Robeson Health Care Corporation | Counselor | 1212 S Walnut St, Fairmont, NC 28340 | 2006-04-28 |
| 1952768426 | Latanya Breeden | Adult Companion | 609 Martin Luther King Dr, Fairmont, NC 28340-1311 | 2016-01-28 |
| 1033252440 | Stephens Outreach Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 608a Martin Luther King Dr, Fairmont, NC 28340-1312 | 2007-02-15 |
| 1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
| 1225142391 | Sean Brian Woken | Chiropractor | 208 Iona St, Fairmont, NC 28340-1616 | 2006-08-18 |
| Find all providers in zip 28340 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295341253 | Elevation Family Wellness | Nurse Practitioner | 1044 Hite Cir, Fairmont, WV 26554-9398 | 2020-09-16 |
| 1700307519 | Brenda Jo Brubaker | Nurse Practitioner | 120 Maplewood Dr, Fairmont, WV 26554-2162 | 2017-06-30 |
| 1457872376 | Michele R Lilley | Nurse Practitioner | 177 Middletown Rd, Ste1, Upc Whitehall Medical, Fairmont, WV 26554 | 2017-06-30 |
| 1881124428 | Kristen Cutright | Nurse Practitioner | 1325 Locust Ave # 32, Fairmont, WV 26554-1435 | 2017-06-15 |
| 1881021459 | Traci Layne Tannehill | Nurse Practitioner | 5 Erwin Ln Ste A, Fairmont, WV 26554-1376 | 2013-09-27 |
| 1205188240 | Kelly Jo Hazuka | Nurse Practitioner | 100 Avery Olivia Way Ste B, Fairmont, WV 26554-9375 | 2012-10-14 |
| 1255633103 | Christine Lynn Mott | Nurse Practitioner | 123 Michael Developement Rd, Fairmont, WV 26554-8637 | 2010-11-29 |
| 1467653139 | Mary Patricia Watson | Nurse Practitioner | 1201 Locust Avenue, Fairmont State University Student Health, Fairmont, WV 26554 | 2007-05-30 |
| 1134124589 | Brenda Mercer Allen | Nurse Practitioner | 1212 S Walnut St, Fairmont, NC 28340-1848 | 2005-06-14 |
| 1639790389 | Melissa Kay Spring | Nurse Practitioner | 1322 Locust Ave, Fairmont, WV 26554-1436 | 2020-05-05 |
| Find all providers in FAIRMONT | ||||
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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.