Individual provider Active NPI

Pana Martin Meanor, NP

  • Critical Care Neonatal Nurse Practitioner
  • Durham, NC
National Provider Identifier
1528339082
Registry record updated Jan 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
930072 Issued in NC
Practice address
5524 Hospital N
Box 100500, Medical Center
Durham, NC 27710-0001
Phone
(919) 970-7643
Fax
(919) 681-2605
NPI assigned
Jan 15, 2012
Last updated
Jan 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X 930072 NC Primary

Addresses

Primary practice location

5524 Hospital N
Box 100500, Medical Center
Durham, NC 27710-0001

Mailing address

2424 Erwin Rd
Suite 504
Durham, NC 27705-3824
Phone (919) 970-7643

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
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1326585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326585600000",
    "number": "1528339082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 ERWIN RD",
            "address_2": "SUITE 504",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053824",
            "telephone_number": "919-970-7643",
            "fax_number": "919-681-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 HOSPITAL N",
            "address_2": "BOX 100500, MEDICAL CENTER",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277100001",
            "telephone_number": "919-970-7643",
            "fax_number": "919-681-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEANOR",
        "first_name": "PANA",
        "middle_name": "MARTIN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-15",
        "last_updated": "2012-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NC",
            "license": "930072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2012; 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.