NPIMap

Organization Active NPI

Oceanside Family Medicine

  • Family Nurse Practitioner
  • Shallotte, NC
National Provider Identifier
1588092399
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006519 Issued in NC
Legal business name
OCEANSIDE FAMILY MEDICINE
Practice address
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone
(910) 754-4441
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Catherine Swain, FNP-C
Title
Nurse Practitioner
Phone
(910) 409-1658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 5006519 NC Primary

Addresses

Primary practice location

5145 Sellers Rd
Shallotte, NC 28470-3405

Mailing address

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4441

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Inpt Care503 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1588092399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5145 SELLERS RD",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703405",
            "telephone_number": "910-754-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 SELLERS RD",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703405",
            "telephone_number": "910-754-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "SWAIN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "910-409-1658",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.