Active NPI
Phyllis Coulter Everett
- Adult Health Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1164042982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- PHYLLIS COULTER EVERETT
- Practice address
- 3803 Peachtree Ave
Wilmington, NC 28403-6727 - Phone
- (910) 799-6262
- Fax
- (910) 799-6261
- NPI assigned
- Apr 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Briana McWilliams
- Title
- Provider Enrollment
- Phone
- (800) 828-2012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
3803 Peachtree Ave
Wilmington, NC 28403-6727
Mailing address
21430 Timberlake Rd
Lynchburg, VA 24502-7248
Phone (434) 944-0194
Other names 1
- Sapient Health Services
National Provider Directory
National Provider DirectoryLocations
21430 Timberlake Rd
Lynchburg, VA 24502
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Big Island, VA
- NPI 1861472458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587513600000",
"number": "1164042982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21430 TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027248",
"telephone_number": "434-944-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803 PEACHTREE AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036727",
"telephone_number": "910-799-6262",
"fax_number": "910-799-6261"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYLLIS COULTER EVERETT",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A",
"authorized_official_last_name": "MCWILLIAMS",
"authorized_official_first_name": "BRIANA",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "800-828-2012"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sapient Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, NC
- Sidney Warren Phillips Jr., D.D.S., M.S., P.A.
- Zoie Brianne Phillips, PA-C
- Phoenix Rehabilitation Associates, Inc.
- Phoenix Therapy & Wellness, PLLC
- Phyllis B. Cook, DDS, PA
- Physical Therapy for Life
- Physical Therapy for Women, Inc
- Physical Therapy Services of Wilmington
- Physical Therapy Services of Wilmington at Porter'S Neck, LLC
- Physician Alliance for Mental Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.