Organization Active NPI

Teaching Academics for Life Learning

  • Community/Behavioral Health Agency
  • Wilson, NC
National Provider Identifier
1033426192
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TEACHING ACADEMICS FOR LIFE LEARNING
Practice address
4345 Georgetown Dr N
Wilson, NC 27896-8175
Phone
(252) 230-2689
NPI assigned
Sep 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Ms. Mildred Summerville
Title
Director
Phone
(252) 230-2689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4345 Georgetown Dr N
Wilson, NC 27896-8175

Mailing address

4345 Georgetown Dr
Wilson, NC 27896-8175
Phone (252) 230-2689

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1033426192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4345 GEORGETOWN DR",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968175",
            "telephone_number": "252-230-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 GEORGETOWN DR N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968175",
            "telephone_number": "252-230-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEACHING ACADEMICS FOR LIFE LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "SUMMERVILLE",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-230-2689",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.