Organization Active NPI

Golden Oasis Healthcare Services LLC

  • Adult Health Nurse Practitioner
  • Mechanicsville, MD
National Provider Identifier
1346841236
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
GOLDEN OASIS HEALTHCARE SERVICES LLC
Practice address
37734 Browns Way
Mechanicsville, MD 20659-4630
Phone
(336) 259-2865
NPI assigned
Nov 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Authorized official

Name
Fachecia Fort, DNP, CRNPNPI 1952602963
Title
Nurse Practitioner
Phone
(336) 259-2865

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

37734 Browns Way
Mechanicsville, MD 20659-4630

Mailing address

37734 Browns Way
Mechanicsville, MD 20659-4630
Phone (336) 259-2865

National Provider Directory

National Provider Directory

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": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1346841236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37734 BROWNS WAY",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594630",
            "telephone_number": "336-259-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37734 BROWNS WAY",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206594630",
            "telephone_number": "336-259-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN OASIS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "FORT",
        "authorized_official_first_name": "FACHECIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "336-259-2865",
        "authorized_official_credential": "DNP, CRNP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.