NPIMap

Organization Active NPI

Nash Street Healthcare

  • Multi-Specialty Clinic/Center
  • Wilson, NC
National Provider Identifier
1396135364
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
5004990 Issued in NC
Legal business name
NASH STREET HEALTHCARE
Practice address
3725 Nash St NW
Wilson, NC 27896-1127
Phone
(252) 234-1720
NPI assigned
Jan 29, 2015
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
NASH STREET HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharon J Mitchell, FNPNPI 1497057046
Title
Owner
Phone
(252) 234-1720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 5004990 NC Primary

Addresses

Primary practice location

3725 Nash St NW
Wilson, NC 27896-1127

Mailing address

PO Box 8326
Wilson, NC 27893-1326

Other identifiers 1

IdentifierTypeStateIssuer
5921229MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Nash Street Healthcare2 organizations share this tax ID, including this one
Part of
Nash Street Healthcare

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1396135364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8326",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 NASH ST NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961127",
            "telephone_number": "252-234-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH STREET HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASH STREET HEALTHCARE",
        "enumeration_date": "2015-01-29",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-234-1720",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NC",
            "license": "5004990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921229",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.