LOU ANN EARNHARDT (NPI# 1891228839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891228839 |
| Entity Type | Individual |
| Full Name | LOU ANN EARNHARDT |
| Other Name | LOU ANN LATTA |
| Credential | MSN, AGPCNP-BC |
| Practice Address |
1900 W 1st St Winston Salem NC 27104-4220 |
| Mailing Address |
1315 Kensington Dr High Point NC 27262-7317 |
| Practice Telephone | 7372266700 |
| Practice Fax Number | 7372266750 |
| Mailing Telephone | (336) 848-8250 |
| Mailing Fax Number | 7372266750 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 254702 | NC | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5009475 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3901a Spicewood Springs Rd Ste 201, Austin, TX 787598728 | 7372266700 | 7372266750 |
| Street Address |
1900 W 1ST ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-4220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417137340 | Winston Salem Healthcare LLC | Skilled Nursing Facility | 1900 W 1st St, Winston Salem, NC 27104-4220 | 2007-11-08 |
| 1598321150 | Chad Marshall Holshouser | Occupational Therapy Assistant | 1900 W 1st St, Winston Salem, NC 27104-4220 | 2019-05-18 |
| 1821551797 | Citadel At Winston Salem LLC | Respite Care | 1900 W 1st St, Winston Salem, NC 27104-4220 | 2019-04-09 |
| 1902367196 | Nathaniel Baker Jr. | Occupational Therapy Assistant | 1900 W 1st St, Winston Salem, NC 27104-4220 | 2019-03-29 |
| 1457864142 | Anne Marie Prah | Nurse Practitioner | 1900 W 1st St, Winston Salem, NC 27104-4220 | 2017-11-16 |
| 1669834347 | Winston Salem Rehab Operations LLC | Skilled Nursing Facility | 1900 W 1st St, Winston Salem, NC 27104-4220 | 2016-03-22 |
| 1356617419 | Healthtique Winston Salem, LLC | Skilled Nursing Facility | 1900 W 1st St, Winston Salem, NC 27104-4220 | 2012-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073915880 | Elena Kay Bedingfield | Nurse Practitioner | 639 S Green St, Winston Salem, NC 27101-5109 | 2014-09-23 |
| 1457543365 | Judy Ann Shives | Nurse Practitioner | 1100 Reynolds Blvd, Winston Salem, NC 27105-3400 | 2007-08-14 |
| 1376765925 | Robert Clark | Nurse Practitioner | Employee and Occupational Health, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2007-05-03 |
| 1851446728 | Patricia Kearney | Nurse Practitioner | 147 Columbine Dr, Winston Salem, NC 27106-3112 | 2007-01-23 |
| 1427012301 | Carol A Brown | Nurse Practitioner | 3880 Vest Mill Rd, Suite 100, Winston Salem, NC 27103-1323 | 2006-04-17 |
| 1366963589 | Wendy Rash | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-06-28 |
| 1255794855 | Cheri Taylor | Nurse Practitioner | 615 Saint George Square Ct Ste 300, Winston Salem, NC 27103-1368 | 2016-03-31 |
| 1154789170 | Emma B Denny | Nurse Practitioner | Medical Center Blvd, Winston Salem, NC 27157-2444 | 2016-02-04 |
| 1558726745 | Kristin Suzanne Mcnally | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2015-12-15 |
| 1063803740 | Tiyika Sullivan | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2015-02-17 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
Please comment or provide details below to improve the information on LOU ANN EARNHARDT.
| 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.