2012-01116
Active
No
06/11/2012
05/06/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Auci, Kimberly
| Nurse Practitioner |
Active
|
08/20/2025
|
|
|
Brooks, Katie Lynn
| Nurse Practitioner |
Active
|
10/06/2025
|
|
|
Clark, Cassidy Rae
| Physician Assistant |
Active
|
07/12/2021
|
|
|
Gant, Demetrio Anquain
| Physician Assistant |
Active
|
05/14/2020
|
|
|
Garner, Antwan Shammond
| Nurse Practitioner |
Active
|
03/24/2026
|
|
|
Holmes, Melissa Ann
| Physician Assistant |
Active
|
09/03/2019
|
|
|
Lane, Cornelia Emilen
| Nurse Practitioner |
Active
|
02/20/2020
|
|
|
Lee, Christie
| Physician Assistant |
Active
|
06/30/2020
|
|
|
Painter, Katherine Moss
| Physician Assistant |
Active
|
05/11/2026
|
|
|
Pascual, Sandi Goughenour
| Nurse Practitioner |
Active
|
09/26/2019
|
|
|
Stim, Sarah Elizabeth
| Physician Assistant |
Active
|
07/28/2025
|
|
|
Vacchiano, Micaiah Brianne
| Physician Assistant |
Active
|
08/17/2026
|
|
|
Worthen, Russell Nathan
| Nurse Practitioner |
Active
|
07/28/2019
|
|
|
Zabroske, Sara Elizabeth
| Physician Assistant |
Active
|
07/22/2021
|
|
North Carolina Hospital Admitting Privileges
| Location |
| High Point Regional Health System |
| Wake Forest Baptist Medical Center |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Atrium Health Wake Forest Baptist
1 Medical Center Blvd
Department of Pulmonary, Allergy, Critical Care
Winston-Salem, NC 27157
336-713-6190
Information
Medical School
| School | Graduation |
| American University Of The Caribbean | 2007 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| Wake Forest Baptist Medical Center | Other - Critical Care Medicine |
NC, US
| Fellowship | 2015 |
| Wake Forest Baptist Medical Center | Other - Hematology |
NC, US
| Fellowship | 2014 |
| Albany Medical Center Hospital | Other - Combined Internal Medicine/Pediatrics |
NY, US
| Residency | 2011 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Critical Care Medicine | 2015 |
| Hematology | 2014 |
| Internal Medicine | 2012 |
| Pediatrics | 2013 |
Area of Practice
| Area Of Practice | Primary |
| Critical Care-Internal Medicine | Yes |
| Hematology, Internal Medicine | |
| Internal Medicine | |
| Other | |
| Pediatrics | |
Current Membership in Medical Professional Organizations
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |