Active NPI
Nancy Amber Goudas, NP
- Nurse Practitioner
- Hickory, NC
National Provider Identifier
1396292017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 500891
- Practice address
- 2406 Century PL SE
Hickory, NC 28602-4031 - Phone
- (828) 324-9550
- Fax
- (828) 324-4154
- NPI assigned
- Sep 11, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 500891 | NC | |
| Nurse Practitioner | 363L00000X | 500891 | NC | Primary |
Addresses
Primary practice location
2406 Century PL SE
Hickory, NC 28602-4031
Mailing address
PO Box 3710
Hickory, NC 28603-3710
Phone (828) 324-9550
Other practice location 1
339 Nebo School Rd
Nebo, NC 28761-6848
Phone (828) 652-6326
Other names 1
- Nancy Amber Rowe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 500891 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Oncology Specialist PA | Current | Accepting new patients |
Locations
2406 Century Pl SE
Hickory, NC 28602
Phone (828) 324-9550
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical Oncology Physician
- Hickory, NC
- NPI 1356305841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1396292017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3710",
"city": "HICKORY",
"state": "NC",
"postal_code": "286033710",
"telephone_number": "828-324-9550",
"fax_number": "828-324-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 CENTURY PL SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024031",
"telephone_number": "828-324-9550",
"fax_number": "828-324-4154"
}
],
"practiceLocations": [
{
"address_1": "339 Nebo School Rd",
"address_purpose": "LOCATION",
"city": "Nebo",
"state": "NC",
"postal_code": "287616848",
"country_code": "US",
"telephone_number": "828-652-6326",
"fax_number": "828-652-5625",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOUDAS",
"first_name": "NANCY",
"middle_name": "AMBER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-11",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "500891",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "500891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "ROWE",
"middle_name": "AMBER",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.