Individual provider Active NPI

Emma Lee Verdin

  • Adult Psychiatric/Mental Health Registered Nurse
  • Greensboro, NC
National Provider Identifier
1275965477
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
152378 Issued in NC
Practice address
3 Centerview Dr
Greensboro, NC 27407-3725
Phone
(336) 834-9964
Fax
(336) 834-9698
NPI assigned
Jul 30, 2013
Last updated
Jul 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 152378 NC Primary

Addresses

Primary practice location

3 Centerview Dr
Greensboro, NC 27407-3725

Mailing address

3 Centerview Dr
Psychotherapeutic Services
Greensboro, NC 27407
Phone (336) 834-9964

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

LicenseStateTypeSpecialty
152378NCMDAdult Psychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "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": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.