NPIMap

Organization Active NPI

Falls Pediatrics

  • Pediatric Clinical Nurse Specialist
  • Granite Falls, NC
National Provider Identifier
1609243799
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X
License
CALD-25GVJ6 Issued in NC
Legal business name
FALLS PEDIATRICS
Practice address
4355 Hickory Blvd
Granite Falls, NC 28630-1992
Phone
(828) 757-5050
Fax
(828) 757-5051
NPI assigned
Aug 25, 2015
Organization subpart
Yes
Parent organization
CALDWELL MEMORIAL HOSPITALAs reported in NPPES

National Provider Directory

National Provider Directory
Tax ID family
Caldwell Mem Hosp26 organizations share this tax ID, including this one
Part of
Caldwell Mem Hosp

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Authorized official

Name
Karen Shadowens
Title
Cfo
Phone
(336) 627-8512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0200X CALD-25GVJ6 NC Primary

Addresses

Primary practice location

4355 Hickory Blvd
Granite Falls, NC 28630-1992

Mailing address

4355 Hickory Blvd
Granite Falls, NC 28630-1992
Phone (828) 757-5050

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1609243799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 HICKORY BLVD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286301992",
            "telephone_number": "828-757-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 HICKORY BLVD",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286301992",
            "telephone_number": "828-757-5050",
            "fax_number": "828-757-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLS PEDIATRICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CALDWELL MEMORIAL HOSPITAL",
        "enumeration_date": "2015-08-25",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "SHADOWENS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-627-8512"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "NC",
            "license": "CALD-25GVJ6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite Falls, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.