NC Family Empowerment Zone

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

19778 Issued in NC

Legal business name

NC FAMILY EMPOWERMENT ZONE

Practice address

2012 N Road St
Suite 101
Elizabeth City, NC 27909-9361

Phone

(757) 831-2921

NPI assigned

Jul 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Eugen Gross

Title

President

Phone

(757) 831-2921

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1093970105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2717",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279062717",
            "telephone_number": "757-831-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 N ROAD ST",
            "address_2": "SUITE 101",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279099361",
            "telephone_number": "757-831-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC FAMILY EMPOWERMENT ZONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EUGEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-831-2921",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "19778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Patrick Mulcrone, M.D.
• Dawn Jennings Munden, PHARMD
• Melissa Murray, RBT
• Shannon Carey Mustico, PT
• Allison Myers, DPT
• Alison M Neal, PA-C
• Krystal Lee Needham, NP
• Christina Kay Neeley, MD
• Nehemiah Christian Counseling, P.L.L.C.
• Casey Guy Nekl, M.D.

• Community/Behavioral Health Agency in Elizabeth City, NC
• Providers in Elizabeth City, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.