Active NPI
Betty Presnell
- Community Health Worker
- Walnut Cove, NC
National Provider Identifier
1104198696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 740
- Practice address
- 1511 Windmill Street
Walnut Cove, NC 27052 - Phone
- (336) 591-7357
- NPI assigned
- Jan 31, 2012
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 740 | NC | Primary |
Addresses
Primary practice location
1511 Windmill Street
Walnut Cove, NC 27052
Mailing address
101 E State St
Kennett Square, PA 19348-3109
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 |
|---|---|---|---|
| 740 | NC | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1104198696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 WINDMILL STREET",
"city": "WALNUT COVE",
"state": "NC",
"postal_code": "27052",
"telephone_number": "336-591-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESNELL",
"first_name": "BETTY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-31",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NC",
"license": "740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walnut Cove, NC
- North Carolina CVS Pharmacy LLC
- Marla O'Neal, DDS
- October Road, Inc.
- Lydia Spencer Peck, MS, BCBA
- Pioneer Health Services of Stokes County, Inc.
- Quad County Group Homes for Emotionally Disturbed Children, Inc.
- Reynolds Care Support, LLC
- James Doyle Richardson, RPH, BS
- Ridge Care Management, Inc.
- Amanda Lin Robertson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.