Individual provider Active NPI

Doris Jean Landreth, FNP-C

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1174810279
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017607 Issued in NC
Practice address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone
(910) 341-3421
Fax
(910) 343-3802
NPI assigned
Jul 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP020366 PA
Family Nurse Practitioner 363LF0000X 336901 NY
Family Nurse Practitioner 363LF0000X 5017607 NC Primary

Addresses

Primary practice location

1202 Medical Center Dr
Wilmington, NC 28401-7307

Mailing address

1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (919) 341-3421

Other practice location 1

1160 Chili Ave
Rochester, NY 14624-3035
Phone (585) 235-1514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20111115000719 NY Practitioner - Nurse Practitioner 1153595889 Reassigns benefits to 5 organizations
I20190802001377 PA Practitioner - Nurse Practitioner 1153595889 Reassigns benefits to 1 organization
I20230316002925 NC Practitioner - Nurse Practitioner 1153595889 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians
Emergency Medicine Physicians of Craven County PLLCGroup PAC ID 0042106478, 17 clinicians

Practice addresses (Care Compare)

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8119

Hospital & facility affiliations

  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP020366PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Mar 1, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Dec 10, 2024 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Current Accepting new patients
Wilmington Health PLLC CurrentSince Feb 6, 2024 Accepting new patients
Crouse Health Hospital, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Wha Medical Clinic PLLC Current Accepting new patients
Wilmington ASC LLC CurrentSince Feb 6, 2024 Accepting new patients
Crouse Health Hospital Inc CurrentSince Nov 1, 2019 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. CurrentSince May 30, 2019 Accepting new patients
Delphi Healthcare PLLC Nurse Practitioner CurrentSince Jan 25, 2017 Accepting new patients
Tarheel Emergency Group, PLLC CurrentSince Feb 2, 2023 Accepting new patients
St James Hospital CurrentSince Jul 24, 2023 Accepting new patients
Carthage Area Hospital Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

555 Saint Josephs Blvd
Elmira, NY 14901
Phone (607) 733-6541

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: doris.landreth.p1@direct.wilmingtonhealth.nextgenshare.com

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1174810279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307",
            "telephone_number": "919-341-3421",
            "fax_number": "910-343-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 MEDICAL CENTER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017307",
            "telephone_number": "910-341-3421",
            "fax_number": "910-343-3802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 Chili Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146243035",
            "country_code": "US",
            "telephone_number": "585-235-1514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRETH",
        "first_name": "DORIS",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-09",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP020366",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336901",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.