Organization Active NPI

Panacea Adventures

  • Voluntary or Charitable Agency
  • Wilmington, NC
National Provider Identifier
1205112216
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
1384 Issued in NC
Legal business name
PANACEA ADVENTURES
Practice address
6054 Shiloh Dr
Wilmington, NC 28409-4420
Phone
(808) 214-2858
NPI assigned
Oct 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Mrs. Celine A Adair, L.M.F.T
Title
Clinical Director
Phone
(808) 214-2858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 1384 NC Primary

Addresses

Primary practice location

6054 Shiloh Dr
Wilmington, NC 28409-4420

Mailing address

PO Box 15898
Wilmington, NC 28408-5898
Phone (808) 214-2858

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1205112216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15898",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085898",
            "telephone_number": "808-214-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6054 SHILOH DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284094420",
            "telephone_number": "808-214-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA ADVENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "CELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "808-214-2858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.F.T"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NC",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.