NPIMap

Organization Active NPI

Heatheast Outer Banks Medical Center LLC

Doing business as Healtheast Family Care-Hatteras

  • Clinic/Center
  • Hatteras, NC
National Provider Identifier
1336101369
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HEATHEAST OUTER BANKS MEDICAL CENTER LLC
Doing business as
Healtheast Family Care-Hatteras
Practice address
57635 Hwy 12
Hatteras, NC 27943
Phone
(252) 986-2756
NPI assigned
Apr 5, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Lynn T. Lanier
Title
VP of Finance for East Carolina Hea
Phone
(252) 847-7479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NC Primary

Addresses

Primary practice location

57635 Hwy 12
Hatteras, NC 27943

Mailing address

57635 Hwy 12
Hatteras, NC 27943
Phone (252) 986-2756

Other identifiers 2

IdentifierTypeStateIssuer
0290UOtherNCBCBS #
790155CMedicaidNC

Other names 1

  • Healtheast Family Care-Hatteras Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336101369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57635 HWY 12",
            "city": "HATTERAS",
            "state": "NC",
            "postal_code": "27943",
            "telephone_number": "252-986-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57635 HWY 12",
            "city": "HATTERAS",
            "state": "NC",
            "postal_code": "27943",
            "telephone_number": "252-986-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHEAST OUTER BANKS MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "VP OF FINANCE FOR EAST CAROLINA HEA",
        "authorized_official_telephone_number": "252-847-7479",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS #",
            "identifier": "0290U",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790155C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healtheast Family Care-Hatteras",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hatteras, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.