Individual provider Active NPI

Nancy Laura Thayer, PAC

  • Physician Assistant
  • Sylva, NC
National Provider Identifier
1497968473
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03237 Issued in NC
Practice address
176 Walmart Plaza
Sylva Urgent Care
Sylva, NC 28879
Phone
(828) 631-9462
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1700 FL
Physician Assistant 363A00000X 0010-03237 NC Primary

Addresses

Primary practice location

176 Walmart Plaza
Sylva Urgent Care
Sylva, NC 28879

Mailing address

PO Box 195
8442 Hwy 107 North
Glenville, NC 28736-0195
Phone (828) 743-4136

Other identifiers 1

IdentifierTypeStateIssuer
292781100MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
0010-03237NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ipn Emergency Physicians of North Florida PA Physician Assistant Past Accepting new patients
Gainesville Emergency Medical Associates PA Past Accepting new patients
Gainesville Urgent Care Associates, PA Past Accepting new patients
Starke Hma Medical Group LLC Past Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1497968473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "address_2": "8442 HWY 107 NORTH",
            "city": "GLENVILLE",
            "state": "NC",
            "postal_code": "287360195",
            "telephone_number": "828-743-4136",
            "fax_number": "828-743-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 WALMART PLAZA",
            "address_2": "SYLVA URGENT CARE",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "28879",
            "telephone_number": "828-631-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAYER",
        "first_name": "NANCY",
        "middle_name": "LAURA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA1700",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292781100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.