Individual provider Active NPI

Anne Huitt Davis O'Hara, FNP

  • Family Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1053805978
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
246888 Issued in NC
Practice address
91 Enterprise Dr
Rocky Mount, NC 27804
Phone
(252) 451-3200
Fax
(252) 937-3107
NPI assigned
Jun 15, 2018
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 246888 NC Primary

Addresses

Primary practice location

91 Enterprise Dr
Rocky Mount, NC 27804

Mailing address

PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0351

Other practice location 1

921 N Winstead Ave
Rocky Mount, NC 27804-8749
Phone (252) 937-0300

Other identifiers 2

IdentifierTypeStateIssuer
PENDINGOtherNCBCBS OF NC
PENDINGMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723002543 NC Practitioner - Nurse Practitioner 5799032728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Brody School of Medicine at East Carolina University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boice-Willis Clinic PAGroup PAC ID 0143122382, 58 clinicians

Practice addresses (Care Compare)

901 N Winstead Ave
Rocky Mount, NC 27804-8712
Phone (252) 937-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boice-Willis Clinic PA CurrentSince Jun 20, 2018 Accepting new patients
Boice-Willis Clinic, PA CurrentSince Jun 20, 2018 Accepting new patients

Locations

3221 Zebulon Rd
Rocky Mount, NC 27804

901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200

91 Enterprise Dr
Rocky Mount, NC 27804
Phone (252) 451-3100

91 Enterprise Dr
Fl 2
Rocky Mount, NC 27804

921 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1053805978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040200",
            "telephone_number": "252-937-0351",
            "fax_number": "252-451-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 ENTERPRISE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-451-3200",
            "fax_number": "252-937-3107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 N Winstead Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Mount",
            "state": "NC",
            "postal_code": "278048749",
            "country_code": "US",
            "telephone_number": "252-937-0300",
            "fax_number": "252-937-3108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "ANNE HUITT",
        "middle_name": "DAVIS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "246888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "PENDING",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.