Active NPI
Mideastern Primary Care PLLC
- Family Nurse Practitioner
- Cary, NC
National Provider Identifier
1407482912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MIDEASTERN PRIMARY CARE PLLC
- Practice address
- 1330 SE Maynard Rd Ste 104
Cary, NC 27511-3628 - Phone
- (919) 867-1937
- Fax
- (919) 551-7510
- NPI assigned
- Mar 16, 2020
- 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. Ursula Tomika White, APRN, FNP-C
- Title
- Chief Executive Officer
- Phone
- (919) 867-1937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1330 SE Maynard Rd Ste 104
Cary, NC 27511-3628
Mailing address
150 Preston Executive Dr Ste 201
Cary, NC 27513-8485
Phone (919) 867-1937
Other names 1
- Mideastern Telemedicine
National Provider Directory
National Provider DirectoryLocations
205 S Academy St
Unit 4652
Cary, NC 27519
4804 Page Creek Ln
Ste 115
Durham, NC 27703
1744 Heritage Center Dr
Ste 101
Wake Forest, NC 27587
Phone (919) 867-4996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736985600000",
"number": "1407482912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PRESTON EXECUTIVE DR STE 201",
"city": "CARY",
"state": "NC",
"postal_code": "275138485",
"telephone_number": "919-867-1937",
"fax_number": "919-551-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 SE MAYNARD RD STE 104",
"city": "CARY",
"state": "NC",
"postal_code": "275113628",
"telephone_number": "919-867-1937",
"fax_number": "919-551-7510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDEASTERN PRIMARY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-16",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "URSULA",
"authorized_official_middle_name": "TOMIKA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "919-867-1937",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN, FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mideastern Telemedicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mideastern Telemedicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.