JANICE KUNNAKKATTU (NPI# 1902358831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902358831 |
| Entity Type | Individual |
| Full Name | JANICE KUNNAKKATTU |
| Credential | NP-C |
| Practice Address |
625 E Roosevelt Blvd Monroe NC 28112-5124 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5012908 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 4850 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
625 E ROOSEVELT BLVD |
| City | MONROE |
| State | NC |
| Zip Code | 28112-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215030903 | North Carolina Cvs Pharmacy LLC | Pharmacy | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2006-09-07 |
| 1467091876 | Shrujal Shah | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2020-01-02 |
| 1336793744 | Erin Nicole Taylor | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2019-07-25 |
| 1174045678 | Whitney Cdel Smith | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2017-07-17 |
| 1588091961 | Holly Marie Mcdanel | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2013-10-01 |
| 1336576776 | Charlene S Weaver | Nurse Practitioner | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2013-09-30 |
| 1558637785 | Stephanie Horner Dickson | Nurse Practitioner | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2012-04-02 |
| 1114210341 | Robin Lynnette Haltom | Pharmacist | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2011-05-20 |
| 1033299581 | Kristene C Diggins | Nurse Practitioner | 625 E Roosevelt Blvd, Monroe, NC 28112-5124 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
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| 1194343442 | Courtney Paige Miletello | Nurse Practitioner | 4015 Anna Kate Ln, Monroe, LA 71201-3810 | 2020-07-13 |
| 1942825831 | Kristyn Devun Squyres | Nurse Practitioner | 1401 N 18th St Ste A, Monroe, LA 71201-4972 | 2020-06-16 |
| 1629603337 | Emily Rebecca Buddemeyer | Nurse Practitioner | 814 N Macomb St Ste 1, Monroe, MI 48162-3085 | 2020-03-03 |
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| Find all providers in MONROE | ||||
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| 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.