MRS. BERNADETTE CONLIN OHARA (NPI# 1972808194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972808194 |
| Entity Type | Individual |
| Full Name | MRS. BERNADETTE CONLIN OHARA |
| Credential | CSAC |
| Practice Address |
123 Henderson Dr Jacksonville NC 28540-5601 |
| Mailing Address |
Po Box 752 Jacksonville NC 28541-0752 |
| Practice Telephone | 9109382004 |
| Practice Fax Number | 9109382018 |
| Mailing Telephone | 9109382004 |
| Mailing Fax Number | 9109382018 |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2011-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | 2137 | NC | Other Service Providers |
| Street Address |
123 HENDERSON DR |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28540-5601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942333240 | Spirit of Excellence Community Outreach,inc. | Case Management | 123 Henderson Dr, Jacksonville, NC 28540-5601 | 2007-03-14 |
| 1023408960 | Helen D Fludd | Case Management | 123 Henderson Dr, Jacksonville, NC 28540-5601 | 2015-01-30 |
| 1134463177 | Sheila Anne Maaran | Registered Nurse | 123 Henderson Dr, Jacksonville, NC 28540-5601 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1629696646 | Mary Ann Caldwell | Counselor | 2496 Northwoods Dr., Jacksonville, NC 28540 | 2020-07-07 |
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1043782899 | Brice Rivra | Military Health Care Provider | Rr 612 Loop Road, Jacsksonvile, NC 28540 | 2018-12-18 |
| 1649768599 | Alexander John Pybus | Student in an Organized Health Care Education/Training Program | White St Bldg As-100, Jacksonville, NC 28540 | 2018-04-26 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1558864736 | Andrew Louis Monroe | General Practice | As-100 White Street, Jacksonville, NC 28540 | 2018-03-14 |
| 1588183198 | Citizen Community Transport, LLC | Private Vehicle | 220 Foxwood Ct., Jacksonville, NC 28540 | 2017-09-14 |
| 1558886242 | Brandon Jay Smith | Military Health Care Provider | E Street Bldg G770, Camp Lejeune, NC 28540 | 2017-08-03 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| Find all providers in zip 28540 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808546 | Patrick S. Merriman | Military Health Care Provider | Navy Medicine Support Command Att: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-12-20 |
| 1881198182 | Orleiquis Guerra | Military Health Care Provider | Marine Corps Air Station New River Bldg As-100, Jacksonville, NC 28540 | 2018-03-21 |
| 1134576390 | Nathan Jamal Pena | Military Health Care Provider | 1320 Bailey Ave, Jacksonville, FL 32228-0028 | 2016-05-18 |
| 1194885442 | Dynela Louise Garcia-baran | Military Health Care Provider | 2168 Brandymill Ln, Jacksonville, NC 28546 | 2006-12-09 |
| 1811517212 | Joseph Nario Lipat | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214-5005 | 2020-04-26 |
| 1043854771 | Trey Jeremy Coke | Military Health Care Provider | Navy Medicine Support Command Attn: Medical Staff Svcs, Bldg H 2005 Knight Lane, Jacksonville, FL 32212 | 2019-11-06 |
| 1154825461 | Andrew Charles Caudill | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214 | 2018-03-21 |
| 1124557707 | Sheldon Edwards | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214-5005 | 2017-06-07 |
| 1477940138 | Lisa Daily | Military Health Care Provider | 2080 Child St, Jacksonville, FL 32214-5005 | 2015-04-21 |
| 1265753131 | Di Khoo | Military Health Care Provider | Bldg H 2005 Knight Lane, Attn: Medical Staff Services. Navy Medicine Support Com, Jacksonville, FL 32212-0140 | 2010-06-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28540 |
Please comment or provide details below to improve the information on MRS. BERNADETTE CONLIN OHARA.
| 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.