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DEPT OF VETERANS AFFAIRS OUTPATIENT CLINIC
NPI 1538120910
Nurse Practitioner - Adult Health in Winston-salem, NC

Active since March 28, 2006
190 KIMEL PARK DR, WINSTON-SALEM, NC 27103(336) 768-7696 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dept Of Veterans Affairs Outpatient Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEPT OF VETERANS AFFAIRS OUTPATIENT CLINIC (NPI 1538120910) is a healthcare organization registered as an adult health in Winston-salem, North Carolina and active in the NPI registry since March 2006. The organization lists Stephrn Buettle, Chief Of Staff, as its authorized official.

NPPES Registry Identity

NPI1538120910
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameDEPT OF VETERANS AFFAIRS OUTPATIENT CLINIC
Location Address190 KIMEL PARK DRWinston-salem, NC 27103-6946
Mailing Address190 Kimel Park DrWinston-salem, NC 27103-6946 · (336) 768-7696
Phone(336) 768-7696
Organization SubpartNo
Authorized OfficialStephrn BuettleChief Of Staff · (336) 768-3296
Enumeration DateMarch 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1538120910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NC · 600091
190 KIMEL PARK DR, Winston-salem, NC 27103
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHIH-CHING LEE MD
Internal Medicine
190 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 768-3296
DR. KENNETH JOHN DETRICK M.D.
Psychiatry & Neurology (Psychiatry)
190 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3296
DEPARTMENT OF VETERANS AFFAIRS
General Acute Care Hospital
190 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3296
MS. JENNIFER LYNN HERB LCSW, LCAS
Social Worker (Clinical)
190 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3296
MR. WILLIAM BENJAMIN SMITH III PA-C
Physician Assistant (Medical)
190 KIMEL PARK DR
WINSTON-SALEM, NC 27103
Forsyth County (336) 794-8668
DR. CAREY VASTINE STABLER MD
General Practice
190 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3296
KAMBIZ C SOHEILI M.D., PH.D.
Internal Medicine (Geriatric Medicine)
190 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (919) 336-7683
TAMARA BURKS
Internal Medicine
190 KIMEL PARK DR
WINSTON SALEM, NC 27103
Forsyth County (336) 768-3296

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dept Of Veterans Affairs Outpatient Clinic's NPI number?

The NPI number for Dept Of Veterans Affairs Outpatient Clinic is 1538120910. It was assigned to this organization in the NPPES registry on March 28, 2006.

Where is Dept Of Veterans Affairs Outpatient Clinic located?

Dept Of Veterans Affairs Outpatient Clinic is located at 190 Kimel Park Dr, Winston-Salem, NC 27103. The listed phone number is (336) 768-7696.

What is Dept Of Veterans Affairs Outpatient Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Dept Of Veterans Affairs Outpatient Clinic was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.