Active NPI
Aneta Edgerton
- Private Vehicle
- Louisburg, NC
National Provider Identifier
1255165296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 21220426
- Practice address
- 884 Ronald Tharrington Rd
Louisburg, NC 27549-7439 - Phone
- (919) 671-4480
- NPI assigned
- Aug 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 21220426 | NC | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | 21220426 | NC |
Addresses
Primary practice location
884 Ronald Tharrington Rd
Louisburg, NC 27549-7439
Mailing address
884 Ronald Tharrington Rd
Louisburg, NC 27549-7439
Phone (919) 671-4480
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 |
|---|---|---|---|
| 21220426 | NC | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1255165296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "884 RONALD THARRINGTON RD",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275497439",
"telephone_number": "919-671-4480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "884 RONALD THARRINGTON RD",
"city": "LOUISBURG",
"state": "NC",
"postal_code": "275497439",
"telephone_number": "919-671-4480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGERTON",
"first_name": "ANETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-30",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NC",
"license": "21220426",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NC",
"license": "21220426",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.