Individual provider Active NPI

David Prestwich, FNPBC

  • Family Nurse Practitioner
  • Morehead City, NC
National Provider Identifier
1558765131
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012543 Issued in NC
Practice address
3722 Bridges St Ste a
Morehead City, NC 28557-2944
Phone
(252) 622-4033
Fax
(252) 240-3586
NPI assigned
Oct 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R882894 MS
Family Nurse Practitioner 363LF0000X AP60642226 WA
Family Nurse Practitioner 363LF0000X 5012543 NC Primary

Addresses

Primary practice location

3722 Bridges St Ste a
Morehead City, NC 28557-2944

Mailing address

3722 Bridges St Ste a
Morehead City, NC 28557-2944
Phone (252) 622-4033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200813001084 NC Practitioner - Nurse Practitioner 3678896545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

3722 Bridges St
Morehead City, NC 28557-2944
Phone (252) 622-4033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4802MNMDClinical Psychologist
R882894MSMDFamily Nurse Practitioner
5012543NCMDFamily Nurse Practitioner
AP60642226WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fastmed P.C. CurrentSince Jan 1, 2024 Accepting new patients
Plantersville Clinic, Inc Family Past Accepting new patients
Arizona Pulmonary Specialists LTD PastSince Jan 1, 1997 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients

Locations

178 Highway 105 Ext
Ste 101
Boone, NC 28607
Phone (828) 265-7146

7010 NC Highway 751
Durham, NC 27707
Phone (919) 313-3900

3722 Bridges St
Morehead City, NC 28557
Phone (252) 622-4033

3722 Bridges St
Ste A
Morehead City, NC 28557
Phone (252) 622-4033

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

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": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1558765131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3722 BRIDGES ST STE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572944",
            "telephone_number": "252-622-4033",
            "fax_number": "522-403-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3722 BRIDGES ST STE A",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572944",
            "telephone_number": "252-622-4033",
            "fax_number": "252-240-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTWICH",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "FNPBC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R882894",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60642226",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.