Individual provider Active NPI

Megan Hiner

  • Clinical Social Worker
  • Nags Head, NC
National Provider Identifier
1104469642
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C013394 Issued in NC
Practice address
2510 S Croatan Hwy Ste 1
Nags Head, NC 27959-9016
Phone
(252) 772-0188
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C013394 NC Primary

Addresses

Primary practice location

2510 S Croatan Hwy Ste 1
Nags Head, NC 27959-9016

Mailing address

116 Peachtree St
Jarvisburg, NC 27947-9505
Phone (252) 339-0357

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
C013394NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Tides, PLLC CurrentSince Jul 23, 2023 Accepting new patients

Locations

2510 S Croatan Hwy
Ste 1
Nags Head, NC 27959
Phone (252) 772-0188

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1104469642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PEACHTREE ST",
            "city": "JARVISBURG",
            "state": "NC",
            "postal_code": "279479505",
            "telephone_number": "252-339-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 S CROATAN HWY STE 1",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599016",
            "telephone_number": "252-772-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINER",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C013394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.