Beach Care PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200319 Issued in NC

Legal business name

BEACH CARE PA

Practice address

204 D New River Drive
Surf City, NC 28445

Phone

(910) 328-4729

Fax

(910) 328-1942

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Ava McPherson White, F.N.P.-C.

Title

President

Phone

(910) 328-4729

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1215082540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2267",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "284459821",
            "telephone_number": "910-328-4729",
            "fax_number": "910-328-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 D NEW RIVER DRIVE",
            "city": "SURF CITY",
            "state": "NC",
            "postal_code": "28445",
            "telephone_number": "910-328-4729",
            "fax_number": "910-328-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "AVA",
        "authorized_official_middle_name": "MCPHERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-328-4729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "F.N.P.-C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000107",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 910 Chiropractic PC
• Alyssa Marie Amdur, DC
• Courtney Bailey
• Benchmark Physical Therapy of NC, LLC
• Chad Douglas Bender, PHARMD
• Big Moves Physical Therapy LLC
• James S Blair III, MD
• McKenzie Lauree Blom, LCSW-ASSOCIATE

• Family Nurse Practitioner in Surf City, NC
• Providers in Surf City, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.