Organization Active NPI

Foothills Center for Women, P.a.

  • Family Nurse Practitioner
  • North Wilkesboro, NC
National Provider Identifier
1306987953
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FOOTHILLS CENTER FOR WOMEN, P.A.
Practice address
112 Boone TRL
North Wilkesboro, NC 28659-3514
Phone
(336) 667-8241
Fax
(336) 667-1326
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Mrs. Pamela S Sloop, FNPNPI 1952442527
Title
Owner
Phone
(336) 667-8241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

112 Boone TRL
North Wilkesboro, NC 28659-3514

Mailing address

112 Boone TRL
North Wilkesboro, NC 28659-3514
Phone (336) 667-8241

Other identifiers 1

IdentifierTypeStateIssuer
890261LMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090910000156 NC Part B Supplier - Clinic/Group Practice 9830090695 Receives reassigned benefits from 1 practitioner
Practice locations: North Wilkesboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0694576Foothills Center for Women, PA112 Boone Trail, N Wilkesboro, NC 28659Provider-performed microscopyJul 21, 2027

National Provider Directory

National Provider Directory

Locations

112 Boone Trl
North Wilkesboro, NC 28659
Phone (336) 667-8241

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1306987953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593514",
            "telephone_number": "336-667-8241",
            "fax_number": "336-667-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593514",
            "telephone_number": "336-667-8241",
            "fax_number": "336-667-1326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS CENTER FOR WOMEN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "SLOOP",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-667-8241",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890261L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.