MRS. ADRIENNE P WAGENBLAST (NPI# 1962461699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962461699 |
Entity Type | Individual |
Full Name | MRS. ADRIENNE P WAGENBLAST |
Credential | RN MS CDE |
Practice Address |
508 Fulton St Durham NC 27705-3875 |
Mailing Address |
913 Thoreau Dr Raleigh NC 27609-6038 |
Practice Telephone | 9192860411 |
Mailing Telephone | 9192860411 |
Enumeration Date | 2006-03-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
151774 | NC | Nursing Service Providers |
Street Address |
508 FULTON ST |
City | DURHAM |
State | NC |
Zip Code | 27705-3875 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043217086 | Stuart Hall Manning | Internal Medicine | 508 Fulton St, C/o Durham Va Medical Center, Durham, NC 27705-3875 | 2005-07-06 |
1245839083 | Jessica Elizabeth Cornett | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
1043819808 | Rebecca Parker Maccioli | Recreation Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-22 |
1174122055 | Aline Xayasouk | Occupational Therapist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-21 |
1730786187 | Kathryn Masincupp | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-10-07 |
1700490349 | Sarah Elizabeth Parker | Nurse Practitioner | 508 Fulton St, Durham, NC 27705-3875 | 2020-09-01 |
1144833716 | Phillip Charles Tampis | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-24 |
1164033445 | Alexandra Demascole | Social Worker | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-11 |
1386254498 | Krishna Rana | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
1730799842 | Jinah Han | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2020-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
Find all providers in zip 27705 |
Taxonomy Code | 163WD0400X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Diabetes Educator |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033532320 | Deborah Nowack | Registered Nurse | 1821 Hillandale Rd, Suite 24b, Durham, NC 27705-2659 | 2014-01-23 |
1083904361 | Nancy Lelle-michel | Registered Nurse | 200 Trent Dr, Duke Clinic 2f/2g, Durham, NC 27710-0001 | 2011-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922546928 | Tina Hunt | Registered Nurse | 2934 N Elm St Ste G, Lumberton, NC 28358-2987 | 2017-02-09 |
1881070910 | Kimberly Warlick | Registered Nurse | 216 Mantle Dr, Clayton, NC 27527-3972 | 2015-07-30 |
1396929360 | Robert Luka | Registered Nurse | 445 Biltmore Ave Ste 203, Asheville, NC 28801-4529 | 2007-12-26 |
1477644904 | Waynette Twiford Speight | Registered Nurse | 711 Roanoke Avenue, Elizabeth City, NC 27909 | 2006-09-28 |
1104437342 | Bradley James Denmeade | Registered Nurse | 10207 Cerny St, Raleigh, NC 27617-4879 | 2020-08-12 |
1386200616 | Wendy Richardson Moore | Registered Nurse | 901 N Winstead Ave, Rocky Mount, NC 27804-8467 | 2019-05-13 |
1588228134 | Teresa Anne Raxter | Registered Nurse | 260 Hospital Dr, Brevard, NC 28712-3378 | 2019-04-30 |
1831669399 | Barbara Lesperance | Registered Nurse | 1390 Capital Blvd, Raleigh, NC 27603-1118 | 2018-11-27 |
1285111252 | Anna Burke Baird | Registered Nurse | 1301 Commerce Dr, New Bern, NC 28562-2213 | 2018-07-23 |
1992298012 | Sandra Harrison Rakestraw | Registered Nurse | 103 W Stadium Dr, Eden, NC 27288-3329 | 2018-06-13 |
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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.