Active NPI
North River Primecare PC
- Adult Health Nurse Practitioner
- Beaufort, NC
National Provider Identifier
1457541484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 900119
- Legal business name
- NORTH RIVER PRIMECARE PC
- Practice address
- 301 Jones Ave
Beaufort, NC 28516-1514 - Phone
- (252) 728-3252
- Fax
- (252) 728-3251
- NPI assigned
- Jul 26, 2007
- 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
- Laura H. Gaulden, ANP
- Title
- Owner
- Phone
- (252) 728-3252
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 200400309 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 900119 | NC | Primary |
Addresses
Primary practice location
301 Jones Ave
Beaufort, NC 28516-1514
Mailing address
301 Jones Ave
Beaufort, NC 28516-1514
Phone (252) 728-3252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5907341 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
444 Harkers Island Rd
Beaufort, NC 28516
Phone (252) 728-3252
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Morehead City, NC
- NPI 1689925760
-
- Family Nurse Practitioner
- Concord, NC
- NPI 1659675544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361923200000",
"number": "1457541484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 JONES AVE",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285161514",
"telephone_number": "252-728-3252",
"fax_number": "252-728-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 JONES AVE",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285161514",
"telephone_number": "252-728-3252",
"fax_number": "252-728-3251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH RIVER PRIMECARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-26",
"last_updated": "2013-02-27",
"status": "A",
"authorized_official_last_name": "GAULDEN",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-728-3252",
"authorized_official_credential": "ANP"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NC",
"license": "200400309",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "900119",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5907341",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.