Cleveland Family Health, PA

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

0032470 Issued in NC

Legal business name

CLEVELAND FAMILY HEALTH, PA

Practice address

22 Shipwash Dr
Garner, NC 27529-6861

Phone

(919) 662-7600

Fax

(919) 662-7675

NPI assigned

Dec 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janet Wilder Bowen, M.D.

Title

Owner

Phone

(919) 662-7600

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Hisae Bledsoe, FNP

  • Family Nurse Practitioner
  • Garner, NC
  • NPI 1558986398
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1811226871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SHIPWASH DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296861",
            "telephone_number": "919-662-7600",
            "fax_number": "919-662-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SHIPWASH DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296861",
            "telephone_number": "919-662-7600",
            "fax_number": "919-662-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND FAMILY HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "WILDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-662-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "0032470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1858639",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8917359",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "17359",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "212959F",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7807067",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vaughn Kimberly Clark, MSN, APRN, FNP-C
• Marsha Alicia Clarke, LCSW
• Cathy Ann Clement, LPC
• Cleveland Chiropractic and Massage PLLC
• Cleveland Family Health Clinic, PLLC
• Clinical Staffing Inc. Dba Dzeel Clinical
• Clinical Vybez Counseling & Consulting, PLLC
• Sarah R Coates, LCMHC
• Lauren Cobb
• Keandra Cofield

• Primary Care Clinic/Center in Garner, NC
• Providers in Garner, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.