Active NPI
Carol Lashae' Wilson, ANP
- Adult Health Nurse Practitioner
- Greenville, NC
National Provider Identifier
1205182748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5004987
- Practice address
- 1001 East 5TH Street
East Carolina University Student Health Service
Greenville, NC 27858 - Phone
- (252) 328-6841
- NPI assigned
- Aug 2, 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5004987 | NC | Primary |
Addresses
Primary practice location
1001 East 5TH Street
East Carolina University Student Health Service
Greenville, NC 27858
Mailing address
1001 East 5TH Street
East Carolina University Student Health Services
Greenville, NC 27858-4353
Phone (252) 328-6841
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004987 | NC | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1205182748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 EAST 5TH STREET",
"address_2": "EAST CAROLINA UNIVERSITY STUDENT HEALTH SERVICES",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278584353",
"telephone_number": "252-328-6841",
"fax_number": "252-328-0462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 EAST 5TH STREET",
"address_2": "EAST CAROLINA UNIVERSITY STUDENT HEALTH SERVICE",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27858",
"telephone_number": "252-328-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "CAROL",
"middle_name": "LASHAE'",
"name_prefix": "Mrs.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-02",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5004987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.