Foothills Nephrology and Hypertension Center

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

FOOTHILLS NEPHROLOGY AND HYPERTENSION CENTER

Practice address

1321 N Bridge St
Elkin, NC 28621-2303

Phone

(336) 530-4491

Fax

(949) 561-5143

NPI assigned

Jun 23, 2021

Last updated

Jun 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Marie Qualheim, DNP-C

Title

Ceo

Phone

(336) 530-4491

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624406400000",
    "number": "1083283972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212303",
            "telephone_number": "336-530-4491",
            "fax_number": "949-561-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212303",
            "telephone_number": "336-530-4491",
            "fax_number": "949-561-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS NEPHROLOGY AND HYPERTENSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A",
        "authorized_official_last_name": "QUALHEIM",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-530-4491",
        "authorized_official_credential": "DNP-C"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Elkin, NC
• Providers in Elkin, NC by specialty
• Nephrology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.