Organization Active NPI

Brown's Goldencare

  • Gerontology Registered Nurse
  • Wadesboro, NC
National Provider Identifier
1053718072
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
156187 Issued in NC
Legal business name
BROWN'S GOLDENCARE
Practice address
207 Morven Road
Wadesboro, NC 28170
Phone
(828) 301-1154
Fax
(888) 286-2970
NPI assigned
Nov 20, 2014
Last updated
Jun 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Authorized official

Name
Mrs. Carol Ann Brown, ANP-BC
Title
Nurse Practitioner
Phone
(828) 301-1154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WG0600X 156187 NC Primary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X 156187 NC

Addresses

Primary practice location

207 Morven Road
Wadesboro, NC 28170

Mailing address

207 Morven Rd
Wadesboro, NC 28170-2738
Phone (828) 301-1154

National Provider Directory

National Provider Directory

Locations

207 Morven Rd
Wadesboro, NC 28170
Phone (704) 694-7246

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1053718072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 MORVEN RD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702738",
            "telephone_number": "828-301-1154",
            "fax_number": "888-286-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MORVEN ROAD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "28170",
            "telephone_number": "828-301-1154",
            "fax_number": "888-286-2970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN'S GOLDENCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "828-301-1154",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Gerontology",
            "state": "NC",
            "license": "156187",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "156187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.