Active NPI
Women First OB GYN PLLC
- Midwife
- Elizabeth City, NC
National Provider Identifier
1376855023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 108316
- Legal business name
- WOMEN FIRST OB GYN PLLC
- Practice address
- 1177 North Road Street
Elizabeth City, NC 27909-4472 - Phone
- (252) 338-9080
- Fax
- (252) 338-6712
- NPI assigned
- Jul 10, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yvonne McLaurin Moore, RN, BSN
- Title
- Clinical Manager
- Phone
- (252) 338-9080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 108316 | NC | Primary |
Addresses
Primary practice location
1177 North Road Street
Elizabeth City, NC 27909-4472
Mailing address
1177 North Road Street
Elizabeth City, NC 27909-4472
Phone (252) 338-9080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891289X | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279756800000",
"number": "1376855023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 NORTH ROAD STREET",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094472",
"telephone_number": "252-338-9080",
"fax_number": "252-338-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 NORTH ROAD STREET",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094472",
"telephone_number": "252-338-9080",
"fax_number": "252-338-6712"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN FIRST OB GYN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-10",
"last_updated": "2010-07-22",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "YVONNE",
"authorized_official_middle_name": "MCLAURIN",
"authorized_official_title_or_position": "CLINICAL MANAGER",
"authorized_official_telephone_number": "252-338-9080",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Midwife",
"state": "NC",
"license": "108316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891289X",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.