NPIMap

Organization Active NPI

The Epilepsy Institute of NC

  • Psychologist
  • Winston Salem, NC
National Provider Identifier
1477939213
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4128 Issued in NC
Legal business name
THE EPILEPSY INSTITUTE OF NC
Practice address
1311 Westbrook Plaza Dr Ste 100
Winston Salem, NC 27103-1327
Phone
(336) 659-8202
Fax
(336) 659-8206
NPI assigned
Aug 4, 2015
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Katherine Watkins
Title
Billing/Crenditaling
Phone
(336) 659-8202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4128 NC Primary

Addresses

Primary practice location

1311 Westbrook Plaza Dr Ste 100
Winston Salem, NC 27103-1327

Mailing address

1311 Westbrook Plaza Dr Ste 100
Winston Salem, NC 27103-1327
Phone (336) 659-8202

National Provider Directory

National Provider Directory

Locations

1311 Westbrook Plaza Dr
#100
Winston Salem, NC 27103
Phone (336) 659-8202

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1477939213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 WESTBROOK PLAZA DR STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031327",
            "telephone_number": "336-659-8202",
            "fax_number": "336-659-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 WESTBROOK PLAZA DR STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031327",
            "telephone_number": "336-659-8202",
            "fax_number": "336-659-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EPILEPSY INSTITUTE OF NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "BILLING/CRENDITALING",
        "authorized_official_telephone_number": "336-659-8202"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4128",
            "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 Aug 4, 2015; 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.