Active NPI
Whidbey Island Public Hospital District
- Psychiatry Physician
- Rocky Mount, NC
National Provider Identifier
1568056943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
- Practice address
- 1103 Deerchase Dr
Rocky Mount, NC 27804-6438 - Phone
- (360) 678-5151
- NPI assigned
- Feb 25, 2021
- Last updated
- Feb 25, 2021
- Organization subpart
- Yes
- Parent organization
- WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Telles
- Title
- Ceo
- Phone
- (360) 678-7656
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NU | Primary |
Addresses
Primary practice location
1103 Deerchase Dr
Rocky Mount, NC 27804-6438
Mailing address
101 N Main St
Coupeville, WA 98239-3413
Phone (360) 678-5151
Other names 1
- WhidbeyHealth Telehealth
National Provider Directory
National Provider Directory- Part of
- Whidbey Island Pub Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614211200000",
"number": "1568056943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N MAIN ST",
"city": "COUPEVILLE",
"state": "WA",
"postal_code": "982393413",
"telephone_number": "360-678-5151",
"fax_number": "360-678-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 DEERCHASE DR",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278046438",
"telephone_number": "360-678-5151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WHIDBEY ISLAND PUBLIC HOSPITAL DISTRICT",
"enumeration_date": "2021-02-25",
"last_updated": "2021-02-25",
"certification_date": "2021-02-25",
"status": "A",
"authorized_official_last_name": "TELLES",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "360-678-7656"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WhidbeyHealth Telehealth",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.