Organization Active NPI

Cathy Showfety Inc.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Greensboro, NC
National Provider Identifier
1023393410
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
68904 Issued in NC
Legal business name
CATHY SHOWFETY INC.
Practice address
408 1/2 State St
Greensboro, NC 27405-5657
Phone
(336) 324-3739
Fax
(336) 632-3503
NPI assigned
Oct 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Mrs. Cathy P Showfety, APRN,MSN,CSN
Title
Psychologist/Mental Health
Phone
(336) 324-3739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0809X 68904 NC Primary

Addresses

Primary practice location

408 1/2 State St
Greensboro, NC 27405-5657

Mailing address

1903 Dickens Dr
Greensboro, NC 27410-2217
Phone (336) 324-3739

Other identifiers 2

IdentifierTypeStateIssuer
6004061MedicaidNC
97788OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111123000518 NC Part B Supplier - Clinic/Group Practice 7214101534 Receives reassigned benefits from 1 practitioner
Practice locations: Greensboro, NC

National Provider Directory

National Provider Directory

Locations

3707 W Market St
Ste D
Greensboro, NC 27403
Phone (336) 323-1223

408 State St
#1-2
Greensboro, NC 27405
Phone (336) 324-3739

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1023393410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 DICKENS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102217",
            "telephone_number": "336-324-3739",
            "fax_number": "336-632-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 1/2 STATE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055657",
            "telephone_number": "336-324-3739",
            "fax_number": "336-632-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHY SHOWFETY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "SHOWFETY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PSYCHOLOGIST/MENTAL HEALTH",
        "authorized_official_telephone_number": "336-324-3739",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN,MSN,CSN"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "68904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004061",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97788",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.