Individual provider Active NPI

Emily Marie Shumate, FNP

  • Nurse Practitioner
  • Wilkesboro, NC
National Provider Identifier
1407555857
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5017868 Issued in NC
Practice address
306 College St
Wilkesboro, NC 28697-2854
Phone
(336) 651-7460
Fax
(336) 651-7813
NPI assigned
Feb 24, 2023
Last updated
Apr 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5017868 NC Primary

Addresses

Primary practice location

306 College St
Wilkesboro, NC 28697-2854

Mailing address

306 College St
Wilkesboro, NC 28697-2854
Phone (336) 651-7460

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230426002883 NC Practitioner - Nurse Practitioner 1850756875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5017868NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Wilkes Current Accepting new patients
County of Wilkes CurrentSince Apr 5, 2023 Accepting new patients

Locations

306 College St
Wilkesboro, NC 28697
Phone (336) 651-7450

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1407555857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 COLLEGE ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972854",
            "telephone_number": "336-651-7460",
            "fax_number": "336-651-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 COLLEGE ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972854",
            "telephone_number": "336-651-7460",
            "fax_number": "336-651-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMATE",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.