Emma Lee Verdin

Key facts

NPI

1275965477

Entity type

Individual (NPI type 1)

Primary specialty

Adult Psychiatric/Mental Health Registered Nurse 163WP0809X

License

152378 (NC)

Practice address

3 Centerview Dr
Greensboro, NC 27407-3725

Phone

(336) 834-9964

Fax

(336) 834-9698

NPI assigned

Jul 30, 2013

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2013.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1275965477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CENTERVIEW DR",
            "address_2": "PSYCHOTHERAPEUTIC SERVICES",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27407",
            "telephone_number": "336-834-9964",
            "fax_number": "336-834-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CENTERVIEW DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073725",
            "telephone_number": "336-834-9964",
            "fax_number": "336-834-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDIN",
        "first_name": "EMMA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "152378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Greensboro, NC · Adult Psychiatric/Mental Health Registered Nurse in North Carolina