Active NPI
Teaching Academics for Life Learning
- Community/Behavioral Health Agency
- Wilson, NC
National Provider Identifier
1033426192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- John Taliaferro, MD
- Anja Natasha Talley
- Mary Margaret Tayloe Gaskins, MS, RDN, LDN
- Ijahnai Chauntelle Nyasia Taylor
- Terresa Williams Taylor, RD, LDN
- Joshua R Tedesco, DPT
- Terminal Drug Store Inc
- Eddie Stuart Tessnear, PH.D.
- The Mental Health Association in North Carolina, Inc.
- The Mental Health Association in North Carolina, Inc.
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.