Individual provider Active NPI

Patricia Flye Segee, LPA

  • Psychologist
  • N Wilkesboro, NC
National Provider Identifier
1043493646
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1644 Issued in NC
Practice address
1430 Willow LN
West Park, C 61-2
N Wilkesboro, NC 28659-3551
Phone
(336) 667-5151
Fax
(828) 262-5687
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1644 NC Primary

Addresses

Primary practice location

1430 Willow LN
West Park, C 61-2
N Wilkesboro, NC 28659-3551

Mailing address

895 State Farm Rd
Suite 508
Boone, NC 28607-4917
Phone (828) 264-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1644NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
New River Service Authority Past Accepting new patients
New River Service Authority Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1043493646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD",
            "address_2": "SUITE 508",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "828-264-9007",
            "fax_number": "828-262-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 WILLOW LN",
            "address_2": "WEST PARK, C 61-2",
            "city": "N WILKESBORO",
            "state": "NC",
            "postal_code": "286593551",
            "telephone_number": "336-667-5151",
            "fax_number": "828-262-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGEE",
        "first_name": "PATRICIA",
        "middle_name": "FLYE",
        "name_prefix": "Mrs.",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.