KATHLEEN SANDRA SISK (NPI# 1932457694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932457694 |
| Entity Type | Individual |
| Full Name | KATHLEEN SANDRA SISK |
| Credential | PMH-NP |
| Practice Address |
209 Millstone Dr Suite A Hillsborough NC 27278-8776 |
| Mailing Address |
Po Box 612 Mebane NC 27302-0612 |
| Practice Telephone | 9192455400 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2014-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
151808 | NC | Allopathic & Osteopathic Physicians |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
151808 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
209 MILLSTONE DR SUITE A |
| City | HILLSBOROUGH |
| State | NC |
| Zip Code | 27278-8776 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372591 | Hansen Su | Psychiatry & Neurology | 209 Millstone Dr, Ste A, Hillsborough, NC 27278-8776 | 2006-01-31 |
| 1972004794 | Carolina Behavioral Care, Pa | Pharmacy | 209 Millstone Dr, Hillsborough, NC 27278-8776 | 2018-02-27 |
| 1225554629 | Carolina Behavioral Care Pa | Pharmacy | 209 Millstone Dr, Hillsborough, NC 27278-8776 | 2017-08-17 |
| 1649687724 | Synapse Analytical Labs LLC | Clinical Medical Laboratory | 209 Millstone Dr, Suite A, Hillsborough, NC 27278-8776 | 2014-07-21 |
| 1841549045 | Emily A Carpenter | Counselor | 209 Millstone Dr, Suite B, Hillsborough, NC 27278-8776 | 2012-09-04 |
| 1124376033 | Wendy King Elder | Social Worker | 209 Millstone Dr, Suite A, Hillsborough, NC 27278-8776 | 2012-08-27 |
| 1174884985 | Susan Schulte | Social Worker | 209 Millstone Dr, Ste B, Hillsborough, NC 27278-8776 | 2012-06-07 |
| 1972874071 | Caroline Ryf Byrd | Marriage & Family Therapist | 209 Millstone Dr, Suite B, Hillsborough, NC 27278-8776 | 2012-01-20 |
| 1376845602 | Community Innovations Inc. | Psychiatry & Neurology | 209 Millstone Dr, Ste B, Hillsborough, NC 27278-8776 | 2010-11-18 |
| 1720305196 | Jennifer J Allran | Nurse Practitioner | 209 Millstone Dr, Suite A, Hillsborough, NC 27278-8776 | 2010-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710504600 | Drs. Latta & Lau, Dds, Pllc | Dentist | 119 Mayo St, Suite 110, Hillsborough, NC 27278 | 2020-06-26 |
| 1073080149 | Loy Anne Campbell | Occupational Therapist | 115 Oakdale Drive, Suite 8, Hillsborough, NC 27278 | 2018-10-26 |
| 1144726894 | Johanna Janssen | Physical Therapist | 1101 Bartlett Circle, Hillsborough, NC 27278 | 2018-04-02 |
| 1609305309 | Caroline Latta | Dentist | 614 Arthur Minnis Rd, Hillsborough, NC 27278 | 2017-06-06 |
| 1477089811 | Rachel Bethany Berlin | Nurse Practitioner | 276 S Churton Street, 200, Hillsborough, NC 27278 | 2017-05-04 |
| 1083155956 | Jordan Busse | Physical Therapist | 2410 Summit Dr, Hillsborough, NC 27278 | 2017-03-13 |
| 1407394174 | Dylan Thomas Twiddy | Specialist/Technologist | 3032 Prophet Dr., Hillsborough, NC 27278 | 2017-02-02 |
| 1407307572 | Nancy S Hudspeth | Counselor | 204 Saponi Drive, Hillsborough, NC 27278 | 2016-10-24 |
| 1164877536 | Andrea Marie Christian | Physical Therapist | 267 S. Churton Street, Hillsborough, NC 27278 | 2016-05-04 |
| 1578962536 | Family Advancing More Effectively, Inc. | Community/Behavioral Health | 236 Orange Grove Street, Ste. 13, Hillsborough, NC 27278 | 2014-08-15 |
| Find all providers in zip 27278 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528423456 | Jeanne Amerine | Nurse Practitioner | 1000 Corporate Dr, Suite 301, Hillsborough, NC 27278-8535 | 2015-12-18 |
| 1720305196 | Jennifer J Allran | Nurse Practitioner | 209 Millstone Dr, Suite A, Hillsborough, NC 27278-8776 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730078 | Leetisha Lawana Dunia | Nurse Practitioner | 538 Wood Point Dr, Lillington, NC 27546-5971 | 2020-11-06 |
| 1881292134 | Jurell Kirice Riley | Nurse Practitioner | 6301 Dumont Ln, Charlotte, NC 28269-6147 | 2020-10-09 |
| 1336756899 | Jennifer Danks | Nurse Practitioner | 1845 Keener Rd, Clinton, NC 28328-8039 | 2020-09-29 |
| 1376159400 | Ronald Jerome Patterson Jr. | Nurse Practitioner | 4204 Banks Stone Dr, Raleigh, NC 27603-4860 | 2020-09-23 |
| 1902411499 | Solari Mental and Behavioral Health Services | Nurse Practitioner | 11206 Highcrest Dr, Huntersville, NC 28078-0610 | 2020-09-10 |
| 1699389684 | Lasting Hope - Mental Health & Recovery | Nurse Practitioner | 131 Fiddlers Run Blvd, Morganton, NC 28655-0095 | 2020-09-07 |
| 1588277727 | Alison Stroh | Nurse Practitioner | 1313 Banyon Grove Loop, Cary, NC 27513-3936 | 2020-08-27 |
| 1902417488 | Erin Klender Pllc | Nurse Practitioner | 12106 Willingdon Rd, Huntersville, NC 28078-5520 | 2020-08-10 |
| 1407466824 | Theresa Uju Ofoemezie | Nurse Practitioner | 250 S San Agustin Dr, Mooresville, NC 28117-8581 | 2020-08-01 |
| 1669090213 | Rashonda R. Wheeler | Nurse Practitioner | 8949 Cinnabay Dr, Charlotte, NC 28216-2189 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | HILLSBOROUGH |
| Zip Code | 27278 |
Please comment or provide details below to improve the information on KATHLEEN SANDRA SISK.
| 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.