ISHMAEL ROBERT HAYFRON (NPI# 1871071878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871071878 |
| Entity Type | Individual |
| Full Name | ISHMAEL ROBERT HAYFRON |
| Credential | DNP, FNP-C |
| Practice Address |
1818 Davie Ave Statesville NC 28677 |
| Mailing Address |
Po Box 1845 Statesville NC 28687-1845 |
| Practice Telephone | 7048731036 |
| Mailing Telephone | 7048731036 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 222727 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
222727 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA BOARD OF NURSING | 222727 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2711 Lane St, Kannapolis, NC 280839217 | 7044579087 |
| Street Address |
1818 DAVIE AVE |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528050184 | James S Foushee | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2005-08-19 |
| 1770056327 | Piedmont Healthcare, Pa | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2019-01-07 |
| 1386825131 | Tania Mimi Acevedo | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677 | 2007-11-21 |
| 1891719530 | Teresa B Campbell | Nurse Practitioner | 1818 Davie Ave, Statesville, NC 28677-3524 | 2006-07-26 |
| 1023045135 | Tanya Kapp Maxwell | Nurse Practitioner | 1818 Davie Ave, Statesville, NC 28677-3524 | 2006-06-26 |
| 1811988231 | Carla R Pence | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2005-11-03 |
| 1467445155 | Fred Marks | Internal Medicine | 1818 Davie Ave, Statesville, NC 28677-3524 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887706 | Tasha Marie Vangile | Nurse Practitioner | 120 Westview Ln, Statesville, NC 28625-8221 | 2020-07-02 |
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1144626003 | Valorie Stewart Byrd | Nurse Practitioner | 150 Magnolia Hill Ln, Statesville, NC 28677-9735 | 2014-11-05 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1427362367 | Melissa Stevens Jolly | Nurse Practitioner | 513 Brookdale Dr, Statesville, NC 28677-4107 | 2010-08-03 |
| 1558695213 | Jessica Daniels Wood | Nurse Practitioner | 310 Davie Avenue, Statesville, NC 28677 | 2009-09-29 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1508063355 | Ann Green Moose | Nurse Practitioner | 1893 E Broad St # B-4, Statesville, NC 28625-4307 | 2007-06-27 |
| 1073739843 | Judy Lackey Keighron | Nurse Practitioner | 308c Mocksville Hwy, Statesville, NC 28625-8267 | 2007-04-18 |
| 1578788741 | Beverly B Sproul | Nurse Practitioner | 470 Crawford Rd, Statesville, NC 28625-8545 | 2007-04-14 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
Please comment or provide details below to improve the information on ISHMAEL ROBERT HAYFRON.
| 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.