LATRICIA DAIL CHASTAIN (NPI# 1821366436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821366436 |
| Entity Type | Individual |
| Full Name | LATRICIA DAIL CHASTAIN |
| Other Name | LATRICIA MAE DAIL |
| Credential | NP-C |
| Practice Address |
44 Mcneill Plz Whiteville NC 28472-8602 |
| Mailing Address |
138 Dublin Square Rd Ste B Asheboro NC 27203-8600 |
| Practice Telephone | 3366101300 |
| Practice Fax Number | 3366726001 |
| Mailing Telephone | 3366101300 |
| Mailing Fax Number | 3366726001 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
146744 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5005452 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1821366436 | 05 | |
| SC | NP2519 | 05 |
| Street Address |
44 MCNEILL PLZ |
| City | WHITEVILLE |
| State | NC |
| Zip Code | 28472-8602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194894790 | Liberty Healthcare Group, LLC | Hospice Care, Community Based | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2006-11-07 |
| 1063056687 | Rachel Tedesco | Nurse Practitioner | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2019-11-06 |
| 1972050276 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2016-09-02 |
| 1184078651 | Freedom Therapy Services, LLC | Occupational Therapist | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2016-04-20 |
| 1639523764 | Liberty Healthcare Group, LLC | Assisted Living Facility | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2016-04-14 |
| 1174920300 | Liberty Medical Care Services, LLC | Nurse Practitioner | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2014-12-03 |
| 1043498173 | Liberty Healthcare Group | Skilled Nursing Facility | 44 Mcneill Plz, Whiteville, NC 28472-8602 | 2008-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720503568 | Anthony Ruan | Pharmacist | 1728 S Madison St., Whiteville, NC 28472 | 2017-08-12 |
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1801335773 | Mary Mcneill Hooks | Pharmacist | 612-10 Jefferson Street, Whiteville, NC 28472 | 2017-02-13 |
| 1386180248 | Mickey Worthington | Pharmacist | 20 Whiteville Town Ctr, Whiteville, NC 28472 | 2017-01-16 |
| 1851702138 | Tom Mauney Owens | Pharmacist | 612- 4 Jefferson Street, Whiteville, NC 28472 | 2014-05-08 |
| 1740429778 | Coastal Hearing Centers, Inc | Audiologist | 302 Liberty Street, Whiteville, NC 28472 | 2009-02-15 |
| 1689831653 | Amber Marie Wallace Robinson | Occupational Therapy Assistant | 1472 Pickney Street, Whiteville, NC 28472 | 2008-05-19 |
| 1225236417 | Sandra Pickett | Speech-Language Pathologist | 123 E. Columbus Street, Whiteville, NC 28472 | 2007-07-10 |
| 1306041249 | Kimberlee White | Speech-Language Pathologist | 123 E Columbus Street, Whiteville, NC 28472 | 2007-06-20 |
| 1568667418 | Ismael Montes | Respiratory Therapist, Registered | 1014 N. Jk Powell Boulevard, Whiteville, NC 28472 | 2007-06-20 |
| Find all providers in zip 28472 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336677699 | Brittany Canady | Nurse Practitioner | 5 Whiteville Towncenter, Whiteville, NC 28472 | 2017-05-31 |
| 1437499696 | Ollie Alicia Herron | Nurse Practitioner | 2520 Union Springs Rd, Whiteville, TN 38075-7548 | 2013-02-26 |
| 1003194044 | Tasma Graham Robertson | Nurse Practitioner | 1440 Union Springs Rd, Whiteville, TN 38075-7526 | 2011-07-25 |
| 1033171053 | Patricia Louise Deskin | Nurse Practitioner | 40 Mcneill Plz, Whiteville, NC 28472-8602 | 2006-04-05 |
| 1174159529 | Krista Welch Inman | Nurse Practitioner | 5 Whiteville Town Ctr, Whiteville, NC 28472-4401 | 2020-03-17 |
| 1558991919 | Kimberly Godwin Mcpherson | Nurse Practitioner | 823 Jefferson St, Whiteville, NC 28472-3703 | 2020-01-23 |
| 1437789682 | Lisa Thomas | Nurse Practitioner | 500 Jefferson St, Whiteville, NC 28412 | 2020-01-16 |
| 1952878951 | Nicole H Britt | Nurse Practitioner | 282 Flowers Pridgen Rd, Whiteville, NC 28472-9110 | 2018-10-28 |
| 1124505219 | Theresa Joan Nelson | Nurse Practitioner | 805 S Madison St, Whiteville, NC 28472-4613 | 2018-07-23 |
| 1457870453 | Ashlee G Faulk | Nurse Practitioner | 823 Jefferson St, Whiteville, NC 28472-3703 | 2017-09-12 |
| Find all providers in WHITEVILLE | ||||
| City | WHITEVILLE |
| Zip Code | 28472 |
Please comment or provide details below to improve the information on LATRICIA DAIL CHASTAIN.
| 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.