Foothills Family Health Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

700004 Issued in NC

Legal business name

FOOTHILLS FAMILY HEALTH CARE

Practice address

249 Oak St
Forest City, NC 28043-3585

Phone

(828) 245-3158

Fax

(828) 247-6484

NPI assigned

Nov 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Ferrell Gill, FNP-C

Title

Owner

Phone

(828) 245-3158

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629156963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 OAK ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433585",
            "telephone_number": "828-245-3158",
            "fax_number": "828-247-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 OAK ST",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280433585",
            "telephone_number": "828-245-3158",
            "fax_number": "828-247-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "FERRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-245-3158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "700004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013K4",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "013K4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fern Root Wellness, LLC
• George Carlton Finch Jr., MD
• Martha Chandler Fitzgerald
• Kimberly J Flack, LDO
• Foot and Ankle Center of the Carolinas, PA
• Foothills Infusion Therapies
• Footprints Carolina Inc
• Forest City Chiropractic, P.a.
• Forest City Family Dentistry
• Kathryn Anne Fraccola, DNP-FNP

• Family Nurse Practitioner in Forest City, NC
• Providers in Forest City, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.