Blanche Noelle Harris
Individual provider Active NPI Family Nurse Practitioner · Biscoe, NC
NPI 1194473702 · NPPES record last updated Mar 6, 2023
Key facts
- NPI
- 1194473702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5016009 (NC)
- Practice address
- 2265 NC Highway 24 27 E
Biscoe, NC 27209-9758 - Phone
- (843) 594-3246
- NPI assigned
- Mar 13, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Quickcare Family Practice, PLLC
Physicians Eldercare PA
Curana Health of North Carolina PLLC
Practice addresses (Care Compare)
2265 NC Hwy 24 27 E
Biscoe, NC 27209-9758
Phone (919) 828-1131
4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (336) 251-1114
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220607000808 | NC | Practitioner - Nurse Practitioner | 3971981721 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10210470 | NC | MD | Family Medicine Physician |
| 5016009 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Quickcare Family Practice, PLLC | Family Medicine | Current |
Accepting new patients |
| Physicians Eldercare PA | Current |
Accepting new patients | |
| Curana Health of North Carolina PLLC | Current |
Accepting new patients |
Locations
2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | F10210470 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5016009 | NC | Yes |
Addresses
Primary practice location
2265 NC Highway 24 27 E
Biscoe, NC 27209-9758
Mailing address
2265 NC Highway 24 27 E
Biscoe, NC 27209-9758
Other providers in Biscoe, NC
- FHPG, LLC
- FHPG, LLC
- Firsthealth Dental Care Center
- Kellan Graham
- Aliza G Haithcock
- Laura Hassell
- Cara Saunders Haywood
- Charles Ingram
- Catherine Kennedy
- Kerr Drug Inc
All providers in Biscoe, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.