Individual provider Active NPI

Donna Todd Brock, NP

  • Nurse Practitioner
  • Sylva, NC
National Provider Identifier
1568690451
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
300058 Issued in NC
Practice address
98 Hospital Drive
Suite300
Sylva, NC 28779-5195
Phone
(828) 586-9642
Fax
(828) 586-9673
NPI assigned
Jun 30, 2009
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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 300058 NC Primary

Addresses

Primary practice location

98 Hospital Drive
Suite300
Sylva, NC 28779-5195

Mailing address

98 Doctors Dr
Ste 300
Sylva, NC 28779-4501
Phone (828) 586-9642

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

State licenses

LicenseStateTypeSpecialty
300058NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Regional Hospital Inc Past Accepting new patients

Organizations & group practices 1

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": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1568690451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 DOCTORS DR",
            "address_2": "STE 300",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287794501",
            "telephone_number": "828-586-9642",
            "fax_number": "828-586-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 HOSPITAL DRIVE",
            "address_2": "SUITE300",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795195",
            "telephone_number": "828-586-9642",
            "fax_number": "828-586-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "DONNA",
        "middle_name": "TODD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "300058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.