Active NPI
Phyllis Cantrell McCombs, RN
- Registered Nurse
- Plymouth, NC
National Provider Identifier
1154622116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 52579
- Practice address
- 1562 Hollis Rd
Plymouth, NC 27962-9055 - Phone
- (252) 927-3519
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 52579 | NC | Primary |
Addresses
Primary practice location
1562 Hollis Rd
Plymouth, NC 27962-9055
Mailing address
1562 Hollis Rd
Plymouth, NC 27962-9055
Phone (252) 927-3519
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52579 | NC | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1154622116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1562 HOLLIS RD",
"city": "PLYMOUTH",
"state": "NC",
"postal_code": "279629055",
"telephone_number": "252-927-3519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1562 HOLLIS RD",
"city": "PLYMOUTH",
"state": "NC",
"postal_code": "279629055",
"telephone_number": "252-927-3519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOMBS",
"first_name": "PHYLLIS",
"middle_name": "CANTRELL",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-08",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "52579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, NC
- Martin Tyrrell Washington District Health Dept
- Martin-Tyrrell-Washington District Health Department
- Martin-Tyrrell-Washington District Health Department
- Martin-Tyrrell-Washington District Health Department
- Martin-Tyrrell-Washington District Health Department
- Holly M McNair
- Florence E Mehalic, MSSA
- Metropolitan Community Health Services, Inc.
- Melinda Lorraine Meyer, DMD
- Danielle Mocek
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.