Active NPI
Nathalie Michelle Bentley
- Pharmacist
- Goldsboro, NC
National Provider Identifier
1083240691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12142
- Practice address
- 102 Sable Dr
Goldsboro, NC 27530-9022 - Phone
- (981) 223-2622
- NPI assigned
- Mar 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12142 | NC | Primary |
Addresses
Primary practice location
102 Sable Dr
Goldsboro, NC 27530-9022
Mailing address
102 Sable Dr
Goldsboro, NC 27530-9022
Phone (981) 223-2622
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12142 | NC | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584144000000",
"number": "1083240691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 SABLE DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275309022",
"telephone_number": "981-223-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 SABLE DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275309022",
"telephone_number": "981-223-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTLEY",
"first_name": "NATHALIE",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-14",
"last_updated": "2020-03-14",
"certification_date": "2020-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "12142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
- Erin Leigh Bell, MD
- Beloved Quality Homes Ilc
- Benchmark Physical Therapy of North Carolina LLC (Benchmark Physical Therapy of NC LLC)
- Amy Renee Benjamin, PHARMD
- Miranda Stephens Bennett, PTA
- Ralph Roger Berg Jr., M.D.
- Laura Bernstein
- Katherine Rebecca Berwald, PA
- Better Days Ahead in-Home Nursing Care Inc.
- Better Speech and Language Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.