SNEADS FERRY PEDIATRICS PC (NPI# 1871855379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871855379 |
| Entity Type | Organization |
| Organization Name | SNEADS FERRY PEDIATRICS PC |
| Practice Address |
108 Lakeside Dr Sneads Ferry NC 28460-9415 |
| Practice Telephone | 9103275437 |
| Practice Fax Number | 8775058468 |
| Mailing Telephone | 9103275437 |
| Mailing Fax Number | 8775058468 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2012-06-11 |
| Authorized Official Name | JACK WILCOX (CEO) |
| Authorized Official Telephone | 9103275437 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
20000007 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
108 LAKESIDE DR |
| City | SNEADS FERRY |
| State | NC |
| Zip Code | 28460-9415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730322769 | Kristi Leigh Pitchford | Social Worker | 108 Lakeside Dr, Sneads Ferry, NC 28460-9415 | 2009-04-06 |
| 1215445317 | Katherine Anne Alwes | Nurse Practitioner | 108 Lakeside Dr, Sneads Ferry, NC 28460-9415 | 2018-01-11 |
| 1477831584 | Christy Lee Smith | Counselor | 108 Lakeside Dr, Sneads Ferry, NC 28460-9415 | 2011-07-25 |
| 1700111952 | Jessica Delia Campagna | Counselor | 108 Lakeside Dr, Sneads Ferry, NC 28460-9415 | 2009-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661743 | Russ C Garlinghouse | Military Health Care Provider | Rr 616, Stone Bay, NC 28460 | 2020-08-26 |
| 1164033197 | Brian David Bjerke | Military Health Care Provider | 612 Everrett Creek Road, Snead's Ferry, NC 28460 | 2020-08-13 |
| 1356950612 | Carla Marie Lewis | Dental Hygienist | 1319 Nc 210, Sneads Ferry, NC 28460 | 2020-07-23 |
| 1760013940 | Pete Alfonso Walker | Emergency Medical Technician, Paramedic | Bldg Rr612 Loop Road, Sneads Ferry, NC 28460 | 2020-01-28 |
| 1487294682 | Daniel Scott Porterfield | Military Health Care Provider | Building Rr612, Loop Rd, Sneads Ferry, NC 28460 | 2020-01-15 |
| 1427617000 | Henrique Ferreira Silva | Dentist | 1112 Nc-210, Sneads Ferry, NC 28460 | 2019-06-07 |
| 1295212199 | Ryan Loseke | Military Health Care Provider | 3d Mrb, Camp Lejeune, NC 28460 | 2018-07-24 |
| 1053865824 | Mackenzie Shuford | Chiropractor | 211 Silver Sands Rd, Sneads Ferry, NC 28460 | 2016-08-10 |
| 1174991384 | Susan B Jensen | Nurse Practitioner | Sneads Ferry Pediatric & Family Care, 108 Lakeside Dr, Sneads Ferry, NC 28460 | 2015-09-03 |
| 1043623408 | At Home Pediatric Therapy, Inc. | Speech-Language Pathologist | 1072 Hwy 210, B, Sneads Ferry, NC 28460 | 2014-06-03 |
| Find all providers in zip 28460 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174991384 | Susan B Jensen | Nurse Practitioner | Sneads Ferry Pediatric & Family Care, 108 Lakeside Dr, Sneads Ferry, NC 28460 | 2015-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
| Find all providers with the same taxonomy | ||||
| City | SNEADS FERRY |
| Zip Code | 28460 |
Please comment or provide details below to improve the information on SNEADS FERRY PEDIATRICS PC.
| 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.