Express Care of Yadkin LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

146646 Issued in NC

Legal business name

EXPRESS CARE OF YADKIN LLC

Practice address

755 South State Street
Yadkinville, NC 27055

Phone

(336) 849-4171

Fax

(336) 849-4170

NPI assigned

Feb 18, 2015

Last updated

Nov 19, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wendy S Shumate, FNPNPI 1669446084

Title

Owner

Phone

(336) 849-4171

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 8

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.

• Wendy Shew Shumate, FNP

  • Family Nurse Practitioner
  • Yadkinville, NC
  • NPI 1669446084
  Medicare reassignment NPD Authorized official
• Jennifer Alice Dollyhigh-Easter, FNP

  • Family Nurse Practitioner
  • Yadkinville, NC
  • NPI 1316405954
  Medicare reassignment NPD
• Jennifer Dyer

  • Nurse Practitioner
  • Yadkinville, NC
  • NPI 1467088260
  Medicare reassignment NPD
• Michele Mariano Lizano, FNP-C

  • Nurse Practitioner
  • King, NC
  • NPI 1033518311

  Family

  Medicare reassignment NPD
• Amanda McNeil, DNP, FNP-BC

  • Family Nurse Practitioner
  • Winston Salem, NC
  • NPI 1558427997
  Medicare reassignment NPD
• Ashley Pappas Minton

  • Nurse Practitioner
  • Clemmons, NC
  • NPI 1457991721

  Family

  Medicare reassignment NPD
• Haley Mound

  • Family Nurse Practitioner
  • Greensboro, NC
  • NPI 1740851401
  Medicare reassignment NPD
• Ashleigh Brooke Warren, FNP

  • Family Nurse Practitioner
  • Conover, NC
  • NPI 1265022776
  Medicare reassignment NPD

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1548651128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 SOUTH STATE STREET",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "27055",
            "telephone_number": "336-849-4171",
            "fax_number": "336-849-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 SOUTH STATE STREET",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "27055",
            "telephone_number": "336-849-4171",
            "fax_number": "336-849-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE OF YADKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "SHUMATE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-849-4171",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "146646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Dunning, PTA
• Jennifer Dyer
• Eckerd Corporation (Rite Aid Pharmacy 11318)
• Jerrold Max Evington
• Express Care of Yadkin
• Vera Ellen Fitzgerald, MD
• Forsyth Memorial Hospital Inc (Novant Health Yadkin Medical Associates)
• Forsyth Memorial Hospital, Inc.
• Forsyth Memorial Hospital, Inc. (Novant Health Heart & Vascular Institute - Yadkinville)
• Brandon Taylor Gambill

• Family Nurse Practitioner in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.