Active NPI
Patty A Hargrove, RN
- Registered Nurse
- Kenansville, NC
National Provider Identifier
1376659235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 112156
- Practice address
- 340 Seminary St
Kenansville, NC 28349 - Phone
- (910) 296-2130
- Fax
- (910) 296-2139
- NPI assigned
- Aug 22, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 112156 | NC | Primary |
Addresses
Primary practice location
340 Seminary St
Kenansville, NC 28349
Mailing address
105 S Bizzell Ave
Clinton, NC 28328-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112156 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Duplin | Past | Accepting new patients | |
| County of Duplin | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Duplin County Health Services
- State or Local Public Health Clinic/Center
- Kenansville, NC
- NPI 1235198177
-
dba Duplin County Emergency Medical Services
- Land Ambulance
- Kenansville, NC
- NPI 1508919069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376659235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S BIZZELL AVE",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 SEMINARY ST",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "28349",
"telephone_number": "910-296-2130",
"fax_number": "910-296-2139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGROVE",
"first_name": "PATTY",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "112156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenansville, NC
- Good Health Services, Inc.
- Goshen Medical Center Incorporated (Goshen Medical Center - Kenansville)
- Goshen Medical Center, Incorporated (Goshen Medical Center - Duplin)
- Elizabeth Jane Griffin, M.D.
- Leigh Gurley, PHARMD
- Theresa Lynn Hartsell, M.D.
- Healthaccess, Inc (Vidant Home Health and Hospice)
- Healthaccess, Inc (Vidant Home Health and Hospice)
- Healthaccess, Inc (Vidant Home Health and Hospice)
- Healthaccess, Inc (Vidant Home Health and Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.