Active NPI
Theresa Robertson McDonald, RN,NNP-BC
- Neonatal Nurse Practitioner
- Hendersonville, NC
National Provider Identifier
1194077271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 930025
- Practice address
- 100 Hospital Dr
Hendersonville, NC 28792-5272 - Phone
- (828) 254-8232
- Fax
- (828) 253-4470
- NPI assigned
- Oct 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 930025 | NC | Primary |
Addresses
Primary practice location
100 Hospital Dr
Hendersonville, NC 28792-5272
Mailing address
PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 930025 | NC | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1194077271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1869",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287321869",
"telephone_number": "828-687-5616",
"fax_number": "828-650-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925272",
"telephone_number": "828-254-8232",
"fax_number": "828-253-4470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "THERESA",
"middle_name": "ROBERTSON",
"credential": "RN,NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-12",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "NC",
"license": "930025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.