Organization Active NPI

Audacity of Hope

  • Community/Behavioral Health Agency
  • Elizabeth City, NC
National Provider Identifier
1154565000
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AUDACITY OF HOPE
Practice address
213 N Poindexter St
Elizabeth City, NC 27909-4480
Phone
(252) 619-0319
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mr. Andrea Simpson, M. P. A.
Title
Chairman & Ceo
Phone
(252) 619-0319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

213 N Poindexter St
Elizabeth City, NC 27909-4480

Mailing address

213 N Poindexter St
Elizabeth City, NC 27909-4480
Phone (252) 619-0319

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1154565000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 N POINDEXTER ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094480",
            "telephone_number": "252-619-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 N POINDEXTER ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094480",
            "telephone_number": "252-619-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDACITY OF HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "authorized_official_telephone_number": "252-619-0319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M. P. A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.