Gladys Nyambura Dorsey

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

293611 Issued in NC

Practice address

683 E Palmer St
Raeford, NC 28376-6648

Phone

(910) 875-3717

NPI assigned

Mar 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• County of Hoke

  • State or Local Public Health Clinic/Center
  • Raeford, NC
  • NPI 1134286321
  Medicare reassignment NPD

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1073015988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 E PALMER ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766648",
            "telephone_number": "310-875-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 E PALMER ST",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283766648",
            "telephone_number": "910-875-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "GLADYS",
        "middle_name": "NYAMBURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "293611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Trang Thi Doan
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• Shevelle Dowden, MASSAGE THERAPIST
• Stephanie Marie Doyle
• Dr Cameron and Associates II, PLLC
• Dream Builders Care Home, LLC
• Kelly Driscoll, LPCA, NCC

• Family Nurse Practitioner in Raeford, NC
• Providers in Raeford, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.