North River Primecare PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

900119 Issued in NC

Legal business name

NORTH RIVER PRIMECARE PC

Practice address

301 Jones Ave
Beaufort, NC 28516-1514

Phone

(252) 728-3252

Fax

(252) 728-3251

NPI assigned

Nov 7, 2012

Organization subpart

No

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

Authorized official

Name

Sarah Jane Randell

Title

Billing Manager

Phone

(252) 728-3252

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

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

• Laura Ellen Holland, ANP

  • Adult Health Nurse Practitioner
  • Beaufort, NC
  • NPI 1629099577
  NPD (past)

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1356695613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JONES AVE",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161514",
            "telephone_number": "252-728-3252",
            "fax_number": "252-728-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 JONES AVE",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161514",
            "telephone_number": "252-728-3252",
            "fax_number": "252-728-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVER PRIMECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "RANDELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "252-728-3252"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907341",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004406",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7005549",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monarch
• Morehead City Drug Co
• Nicki Guy Newman, RPH
• Danielle W. Norris, M.S. OTRL
• North Carolina CVS Pharmacy LLC
• North River Primecare PC
• Skyler Lagcher O'Brien
• Open Water Medical, PA
• William Jack Orton Sr., PA C
• Otway Pharmacy Partners, Inc

• Adult Health Nurse Practitioner in Beaufort, NC
• Providers in Beaufort, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; 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.