Nash Street Family Practice , P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NASH STREET FAMILY PRACTICE , P.C.

Practice address

114 Brentwood Center LN N
Wilson, NC 27896-1710

Phone

(252) 237-1610

Fax

(252) 237-1630

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Janice Whiting Stump, FNP

Title

President

Phone

(252) 237-1610

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1609916865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BRENTWOOD CENTER LN N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961710",
            "telephone_number": "252-237-1610",
            "fax_number": "252-237-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BRENTWOOD CENTER LN N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961710",
            "telephone_number": "252-237-1610",
            "fax_number": "252-237-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH STREET FAMILY PRACTICE , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "WHITING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-237-1610",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000916",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Myles Home Health Agency
• Myles Home Health Agency II
• Frederick Myles Jr.
• Myles'S Services, Inc.
• N.C. Kidney Care, P.a.
• Nash Street Healthcare
• Nash Street Healthcare
• Natalie a. Doyle, M. D., P. a.
• Natalie a. Doyle, MD
• Creig Jermane Neal

• Family Medicine Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.