Organization Active NPI

Women First OB GYN PLLC

  • Midwife
  • Elizabeth City, NC
National Provider Identifier
1376855023
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
108316 Issued in NC
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

Updated by the provider on Jul 22, 2010

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)CodeLicenseStatePrimary
MidwifeGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
891289XMedicaidNC

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.