Active NPI
Healtheast Family Care of Nags Head
- Family Medicine Physician
- Nags Head, NC
National Provider Identifier
1386620060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HEALTHEAST FAMILY CARE OF NAGS HEAD
- Practice address
- 4810 S Croatan Highway
Suite 100
Nags Head, NC 27959 - Phone
- (252) 441-3177
- Fax
- (252) 441-2271
- NPI assigned
- Dec 15, 2005
- 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
- Mrs. Vonda Getrude Leffler
- Title
- Practice Manager
- Phone
- (252) 441-3177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NC | Primary |
Addresses
Primary practice location
4810 S Croatan Highway
Suite 100
Nags Head, NC 27959
Mailing address
4810 S Croatan Highway
Suite 100
Nags Head, NC 27959
Phone (252) 441-3177
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890314E | Medicaid | NC | |
| 0314E | Other | NC | BCBS OF NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Avon, NC
- NPI 1871563817
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1386620060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4810 S CROATAN HIGHWAY",
"address_2": "SUITE 100",
"city": "NAGS HEAD",
"state": "NC",
"postal_code": "27959",
"telephone_number": "252-441-3177",
"fax_number": "252-441-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4810 S CROATAN HIGHWAY",
"address_2": "SUITE 100",
"city": "NAGS HEAD",
"state": "NC",
"postal_code": "27959",
"telephone_number": "252-441-3177",
"fax_number": "252-441-2271"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHEAST FAMILY CARE OF NAGS HEAD",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEFFLER",
"authorized_official_first_name": "VONDA",
"authorized_official_middle_name": "GETRUDE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "252-441-3177",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890314E",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "0314E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nags Head, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.