NPIMap

Debra Denise Arthur Turner, AGNP-C

Individual provider Active NPI Gerontology Nurse Practitioner · Wilmington, NC

NPI 1376258384 · NPPES record last updated Sep 20, 2024

Key facts

NPI
1376258384
Entity type
Individual (NPI type 1)
Primary specialty
Gerontology Nurse Practitioner 363LG0600X
License
5020599 (NC)
Practice address
3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565
Phone
(910) 742-9243
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Pruitthealth Hospice Inc (42 clinicians)
Broad River Rehabilitation (210 clinicians)

Practice addresses (Care Compare)

810 Kennedy Ave
New Bern, NC 28560-2336
Phone (252) 633-4311

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

  • Well Care Home Health Home health agency · Wilmington, NC · CCN 347002
  • Centerwell Home Health Home health agency · Kinston, NC · CCN 347124

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240905001744 NC Practitioner - Nurse Practitioner 9436699469

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
133930NCMDRegistered Nurse
5020599NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifesource Prime Inc Current
since Aug 27, 2024		 Accepting new patients
Lifesource Prime Inc Current
since Aug 27, 2024		 Accepting new patients
Lifesource of North Carolina Current
since Aug 1, 2024		 Accepting new patients
Lifesource of North Carolina Current
since Aug 1, 2024		 Accepting new patients

Locations

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 133930 NC
Gerontology Nurse Practitioner 363LG0600X 5020599 NC Yes

Addresses

Primary practice location

3205 Randall Pkwy Ste 105
Wilmington, NC 28403-2565

Mailing address

PO Box 538622
Atlanta, GA 30353-8622
Phone (910) 742-9243

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 20, 2024.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1376258384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 538622",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303538622",
            "telephone_number": "910-742-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 RANDALL PKWY STE 105",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032565",
            "telephone_number": "910-742-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "DEBRA",
        "middle_name": "DENISE ARTHUR",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "133930",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5020599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

All providers in Wilmington, NC · Gerontology Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.