MS. SANDRA HARRISON RAKESTRAW (NPI# 1992298012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992298012 |
| Entity Type | Individual |
| Full Name | MS. SANDRA HARRISON RAKESTRAW |
| Credential | RN, CDE |
| Practice Address |
103 W Stadium Dr Eden NC 27288-3329 |
| Mailing Address |
126 Grant St Eden NC 27288-5216 |
| Practice Telephone | 3366274854 |
| Practice Fax Number | 3366278925 |
| Mailing Telephone | 3366130217 |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
43121 | VA | Nursing Service Providers |
| Street Address |
103 W STADIUM DR |
| City | EDEN |
| State | NC |
| Zip Code | 27288-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740246677 | Eden Drug, Inc. | Pharmacy | 103 W Stadium Dr, Eden, NC 27288-3329 | 2006-04-20 |
| 1053947366 | Eden Drug, Inc. | Pharmacy | 103 W Stadium Dr, Eden, NC 27288-3329 | 2020-03-18 |
| 1811358088 | Amanda Crouch | Pharmacist | 103 W Stadium Dr, Eden, NC 27288-3329 | 2016-03-15 |
| 1780017038 | Chad York | Pharmacist | 103 W Stadium Dr, Eden, NC 27288-3329 | 2013-08-09 |
| 1194991745 | Stephanie Hodges Barnes | Orthotic Fitter | 103 W Stadium Dr, Eden, NC 27288-3329 | 2008-05-05 |
| 1780858126 | Robert L Crouch | Orthotic Fitter | 103 W Stadium Dr, Eden, NC 27288-3329 | 2008-04-16 |
| 1215089222 | Eden Drug Inc | Durable Medical Equipment & Medical Supplies | 103 W Stadium Dr, Eden, NC 27288-3329 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| 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 |
| 1982145256 | Crystal Cartledge | Registered Nurse | 280 N Pointe Blvd, Mount Airy, NC 27030-2267 | 2017-03-20 |
| Find all providers with the same taxonomy | ||||
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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.