MS. JERETHA NA MARBURY (NPI# 1811350796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811350796 |
Entity Type | Individual |
Full Name | MS. JERETHA NA MARBURY |
Other Name | MS. JERETHA NA HARRIS |
Practice Address |
201 S Mcpherson Church Rd Ste 202d Fayetteville NC 28303-4974 |
Mailing Address |
Po Box 71320 Jeretha Marbury Fpo AA 28307-1320 |
Practice Telephone | 2533766503 |
Mailing Telephone | 2533766503 |
Enumeration Date | 2016-03-30 |
Last Update Date | 2016-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 146D00000X | Personal Emergency Response Attendant | WA | Emergency Medical Service Providers | |
N | 171W00000X | Contractor | Other Service Providers | ||
N | 171WH0202X |
Contractor Specialization: Home Modifications |
NC | Other Service Providers | |
N | 1744R1102X |
Specialist Specialization: Research Study |
NC | Other Service Providers | |
N | 373H00000X | Day Training/Habilitation Specialist | NC | Nursing Service Related Providers | |
Y | 390200000X | Student in an Organized Health Care Education/Training Program | WA | Student, Health Care | |
N | 172V00000X | Community Health Worker | NC | Other Service Providers | |
N | 171M00000X | Case Manager/Care Coordinator | NC | Other Service Providers | |
N | 171R00000X | Interpreter | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 1346613387 | 05 |
Street Address |
201 S MCPHERSON CHURCH RD STE 202D |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28303-4974 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
Find all providers in zip 28303 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276471 | Henrietta Elise Mckoy | Student in an Organized Health Care Education/Training Program | 913 Liberty Ln, Fayetteville, NC 28311-3073 | 2020-08-20 |
1346869567 | Sahiba Bajwa | Student in an Organized Health Care Education/Training Program | Uams Northwest Campus, 1125 N. College Avenue, Slot 100, Fayetteville, AR 72703-1908 | 2020-04-09 |
1982239463 | Ashley A Bethea | Student in an Organized Health Care Education/Training Program | 4422 Spinel Dr, Fayetteville, NC 28311-6862 | 2020-03-05 |
1730719329 | Jessica Claire Perrett | Student in an Organized Health Care Education/Training Program | 150 Oak Shadow Way, Fayetteville, GA 30215-2985 | 2020-01-22 |
1215579263 | Hallie Hawe | Student in an Organized Health Care Education/Training Program | 2084 N Chestnut Ave Apt 13, Fayetteville, AR 72703-2242 | 2019-10-10 |
1457992877 | Daniel Ross Barber | Student in an Organized Health Care Education/Training Program | 503 Blessings Hill Ln, Fayetteville, TN 37334-9710 | 2019-10-07 |
1982160982 | Timothy Glenn Higgins | Student in an Organized Health Care Education/Training Program | 1689 N Whistling Straits Ave Apt 301, Fayetteville, AR 72704-6679 | 2019-02-14 |
1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
1053821165 | Yancy T. Dials | Student in an Organized Health Care Education/Training Program | 340 Ridgemont Dr, Fayetteville, GA 30215-7708 | 2017-10-03 |
1881128601 | Cynthia Jackson | Student in an Organized Health Care Education/Training Program | 5100 Highbridge St Apt 47d, Fayetteville, NY 13066-2461 | 2017-04-18 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28303 |
Please comment or provide details below to improve the information on MS. JERETHA NA MARBURY.
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.