MARIGOLD PACKHEISER (NPI# 1801948997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801948997 |
| Entity Type | Individual |
| Full Name | MARIGOLD PACKHEISER |
| Credential | NP |
| Practice Address |
2334 S 41st St Wilmington NC 28403-5502 |
| Mailing Address |
5500 N Warrendale Ct Wilmington NC 28409-4015 |
| Practice Telephone | 3369083462 |
| Mailing Telephone | 3369083462 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2017-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
600076 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2334 S 41ST ST |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891167995 | Cynthia Jeannette Mcgahee | Nurse Practitioner | 1709 S 16th St Ste A, Wilmington, NC 28401-6491 | 2015-10-28 |
| 1710156880 | Amy L Tomko | Nurse Practitioner | 1941 Limestone Rd, Suite 211, Wilmington, DE 19808-5408 | 2008-02-22 |
| 1891868527 | Linda Gayle Bartolo | Nurse Practitioner | 1941 Limestone Rd, Suite 211, Wilmington, DE 19808-5400 | 2006-11-17 |
| 1760577977 | Mary Katherine Taylor | Nurse Practitioner | 1709 S 16th St, Suite A, Wilmington, NC 28401-6472 | 2006-10-04 |
| 1982614764 | Rene Royal Corbett | Nurse Practitioner | 1414 Physicians Drive, Wilmington, NC 28401-7335 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309662 | Courtney Elaine Anderson | Nurse Practitioner | 101 E W T Harris Blvd Ste 1110, Charlotte, NC 28262-3454 | 2020-08-31 |
| 1649896150 | Richard Kral | Nurse Practitioner | 1697 Tellico Rd, Franklin, NC 28734-5955 | 2020-06-20 |
| 1194352963 | Tracy Shabu | Nurse Practitioner | 714 Windy Peak Loop, Cary, NC 27519-1886 | 2020-03-23 |
| 1871133850 | Stephanie M Canipe | Nurse Practitioner | 802 Woodmoore Ln, Kannapolis, NC 28081-5700 | 2020-01-08 |
| 1013551076 | Michelle Lowery | Nurse Practitioner | 805 E Peach St, Rowland, NC 28383-8613 | 2019-11-03 |
| 1629533146 | Kathy Parker Farley | Nurse Practitioner | 69 Darlington Dr, Broadway, NC 27505-9558 | 2019-02-08 |
| 1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
| 1619472057 | Allyson Michele Baxter | Nurse Practitioner | 112 W Fire Tower Rd, Winterville, NC 28590-9475 | 2018-03-27 |
| 1669982039 | Christian Bernard Mikesell | Nurse Practitioner | Duke Geriatrics: 40 Medicine Circle Clinic 1j, Durham, NC 27710-4907 | 2017-10-11 |
| 1467970160 | Melissa Muller Rothrock | Nurse Practitioner | The Chapel Hill Residential Retirement Center, Inc. D/b, 750 Weaver Dairy Road, Chapel Hill, NC 27514-1438 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on MARIGOLD PACKHEISER.
| 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.