Individual provider Active NPI

Marjorie G Sales, RN MSN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1437498326
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
197576 Issued in NC
Practice address
3000 Bethesda PL
Suite 801
Winston Salem, NC 27103-3331
Phone
(336) 659-9141
Fax
(336) 659-1456
NPI assigned
Feb 12, 2013
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 197576 NC Primary

Addresses

Primary practice location

3000 Bethesda PL
Suite 801
Winston Salem, NC 27103-3331

Mailing address

3000 Bethesda PL
Suite 801
Winston Salem, NC 27103-3331
Phone (336) 659-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1437498326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "address_2": "SUITE 801",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "336-659-9141",
            "fax_number": "336-659-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BETHESDA PL",
            "address_2": "SUITE 801",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033331",
            "telephone_number": "336-659-9141",
            "fax_number": "336-659-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALES",
        "first_name": "MARJORIE",
        "middle_name": "G",
        "credential": "RN MSN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "197576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.