NINA FOMBUH (NPI# 1932595147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932595147 |
| Entity Type | Individual |
| Full Name | NINA FOMBUH |
| Credential | FNP |
| Practice Address |
3715 Union Rd Gastonia NC 28056-8044 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7048548202 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5008198 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3715 UNION RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28056-8044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457318156 | Robert Latham Jr. | Family Medicine | 3715 Union Rd, Gastonia, NC 28056-8044 | 2006-04-27 |
| 1336707348 | Amy Cody | Nurse Practitioner | 3715 Union Rd, Gastonia, NC 28056-8044 | 2019-06-04 |
| 1851555734 | Carolinas Physicians Network Inc | Internal Medicine | 3715 Union Rd, Gastonia, NC 28056-8044 | 2008-07-10 |
| 1932158938 | Riverwood Medical Associates, P.a. | Family Medicine | 3715 Union Rd, Gastonia, NC 28056-8044 | 2006-05-08 |
| 1336106038 | Richard Van Meter | Family Medicine | 3715 Union Rd, Gastonia, NC 28056-8044 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164983276 | Emily Victoria Woods | Behavior Technician | 973 Plantation Trail, Gastonia, NC 28056 | 2019-03-29 |
| 1851888333 | Tapas Patel | Dentist | 4008 E Franklin Blvd Ste 100, Gastonia, NC 28056 | 2018-04-19 |
| 1952814303 | Humana Pharmacy Inc | Pharmacy | 2910-1 E. Franklin Blvd, Gastonia, NC 28056 | 2017-11-08 |
| 1063958429 | Rachel Zhisheng Toelkes | Specialist/Technologist | 457 Linsbury Ct., Gastonia, NC 28056 | 2017-01-10 |
| 1669846200 | Kathryn Carol O'neil | Physician Assistant | 3302 S New Hope Rd Ste 100b, Gastonia, NC 28056 | 2015-11-19 |
| 1447518618 | Shanta Janernita Lindsay | Nurse Anesthetist, Certified Registered | 1140 Safeway Dr, Gastonia, NC 28056 | 2012-04-25 |
| 1679883250 | Sabrina M Kuiken | Pharmacist | 2500 E. Franklin Blvd, Gastonia, NC 28056 | 2010-10-15 |
| 1528378429 | Katherine Carpenter Hovis | Pharmacist | 2601 South New Hope Rd, Gastonia, NC 28056 | 2010-10-14 |
| 1457584237 | Jonathan C. Allen Jr. | Dentist | 2924 East Franklin Blvd, Gastonia, NC 28056 | 2009-08-27 |
| 1558593822 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3658 South New Hope Rd, Gastonia, NC 28056 | 2009-08-19 |
| Find all providers in zip 28056 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538489414 | Ladeana Walker Gambill | Nurse Practitioner | 1530a Union Road, Gastonia, NC 28054-2201 | 2010-06-02 |
| 1497811079 | Lucianne Cronin | Nurse Practitioner | 1006 Union Rd Ste D, Gastonia, NC 28054-5591 | 2006-12-28 |
| 1902829203 | Cheryl Baxter | Nurse Practitioner | 3320 Robinwood Rd, Ste 100, Gastonia, NC 28054-6689 | 2006-07-26 |
| 1043253776 | Jeanann Vawter | Nurse Practitioner | 924 Cox Road, Gastonia, NC 28054 | 2006-06-13 |
| 1205891843 | Christine L Burns | Nurse Practitioner | 527 S New Hope Rd, Gastonia, NC 28054-4040 | 2006-04-18 |
| 1225036510 | Victoria M Caudill | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2005-07-11 |
| 1467458588 | Jean Lazenby Benton | Nurse Practitioner | 111 E Third Ave, Gastonia, NC 28052-4343 | 2005-06-23 |
| 1437708310 | Krystin B Hepburn | Nurse Practitioner | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054-7491 | 2019-09-04 |
| 1376000570 | Wanda Lizette Carrington | Nurse Practitioner | 1089 X Ray Dr, Gastonia, NC 28054-7489 | 2019-02-23 |
| 1316403561 | Krystal Marie Gessert-herring | Nurse Practitioner | 2391 Court Dr Ste 110, Gastonia, NC 28054-2197 | 2019-02-13 |
| Find all providers in GASTONIA | ||||
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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.