Individual provider Active NPI

Emily Headrick, FNP-C

  • Family Nurse Practitioner
  • Burlington, NC
National Provider Identifier
1124572722
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN233491 Issued in GA
Practice address
1214 Vaughn Rd
Burlington, NC 27217-2863
Phone
(336) 506-5840
NPI assigned
Aug 11, 2016
Last updated
Aug 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN233491 GA Primary

Addresses

Primary practice location

1214 Vaughn Rd
Burlington, NC 27217-2863

Mailing address

404 Chamberlin Ave
Durham, NC 27704-4102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123000275 NC Practitioner - Nurse Practitioner 8426338690 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN233491GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. CurrentSince Nov 17, 2020 Accepting new patients
Piedmont Health Services, Inc. Current Accepting new patients
Piedmont Health Services, Inc. CurrentSince Nov 17, 2020 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 18, 2025 Accepting new patients

Locations

1214 Vaughn Rd
Burlington, NC 27217
Phone (336) 506-5840

301 Lloyd St
Carrboro, NC 27510
Phone (919) 933-9087

7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone (919) 542-1641

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1124572722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CHAMBERLIN AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277044102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 VAUGHN RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172863",
            "telephone_number": "336-506-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADRICK",
        "first_name": "EMILY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN233491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.