High Country Neurology, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

9601279 &9401453 Issued in NC

Legal business name

HIGH COUNTRY NEUROLOGY, PC

Practice address

400 Shadowline Dr
Suite 202
Boone, NC 28607-5089

Phone

(828) 262-0600

Fax

(828) 262-0807

NPI assigned

Oct 16, 2006

Last updated

Jan 3, 2013By 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

Mrs. Laura Miller Crittenden

Title

Office Manager

Phone

(828) 262-0600

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• The Neurological Clinic of Danville Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Paul Crittenden, MD

  • Neurology Physician
  • Boone, NC
  • NPI 1740259225
  Medicare reassignment Care Compare group NPD
• Burton Lee Kennedy, M.D.

  • Neurology Physician
  • Boone, NC
  • NPI 1073793311
  Medicare reassignment Care Compare group NPD
• Dale Anthony Menard Jr., MD

  • Neurology Physician
  • Hickory, NC
  • NPI 1629031323
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1144300286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR",
            "address_2": "SUITE 202",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075089",
            "telephone_number": "828-262-0600",
            "fax_number": "828-262-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHADOWLINE DR",
            "address_2": "SUITE 202",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075089",
            "telephone_number": "828-262-0600",
            "fax_number": "828-262-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH COUNTRY NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "CRITTENDEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-262-0600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "9601279 &9401453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "791120X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JEFFREY CRITTENDEN",
            "identifier": "1740259225",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015NT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  BURTON LEE KENNEDY",
            "identifier": "1073793311",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Neurological Clinic of Danville",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• High Country Health Care System
• High Country Health Care System
• High Country Proactive Health, PLLC
• High Country Psychiatric Services, PA
• High Country Recovery
• Highland Hall Assisted Livingllc
• Corey Hildebrandt

• Neurology Physician in Boone, NC
• Providers in Boone, NC by specialty
• Neurology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.