Individual provider Active NPI

Cathy Marie Sellers, FNPC

  • Nurse Practitioner
  • Calabash, NC
National Provider Identifier
1548239692
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201575 Issued in NC
Practice address
10195 Beach Dr SW # 5
Calabash, NC 28467-2701
Phone
(910) 641-0400
Fax
(910) 642-5929
NPI assigned
Mar 14, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 201575 NC Primary

Addresses

Primary practice location

10195 Beach Dr SW # 5
Calabash, NC 28467-2701

Mailing address

PO Box 4238
Calabash, NC 28467-9820
Phone (910) 641-0400

Other identifiers 1

IdentifierTypeStateIssuer
P00395334OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040622000992 NC Practitioner - Nurse Practitioner 1850376088 Reassigns benefits to 1 organization
I20160201001482 TX Practitioner - Nurse Practitioner 1850376088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
173730NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Dec 21, 2015 Accepting new patients
Columbus Family Medical PA CurrentSince Jun 23, 2018 Accepting new patients
Cherokee Nation CurrentSince Dec 21, 2015 Accepting new patients
Cherokee Nation Current Accepting new patients
Urgent Care Centers of Carolina, Inc. Past Accepting new patients
Shallotte Medical Center Inc Past Accepting new patients
Shallotte Medical Center Inc Past Accepting new patients
Chicora Medical Group PA Past Accepting new patients
Ucb Properties LLC Past Accepting new patients
Chicora Medical Group PA Past Accepting new patients

Locations

712 Village Rd
Ste 104
Shallotte, NC 28470
Phone (910) 754-7607

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1548239692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4238",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284679820",
            "telephone_number": "910-641-0400",
            "fax_number": "910-642-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 BEACH DR SW # 5",
            "city": "CALABASH",
            "state": "NC",
            "postal_code": "284672701",
            "telephone_number": "910-641-0400",
            "fax_number": "910-642-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "CATHY",
        "middle_name": "MARIE",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00395334",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabash, NC

Sources for this page

Verify at the official NPI Registry.