Organization Active NPI

Lower Shore Primary Care and Wellness, LLC.

  • Family Nurse Practitioner
  • Seaford, DE
National Provider Identifier
1639776784
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LOWER SHORE PRIMARY CARE AND WELLNESS, LLC.
Practice address
4186 Stein Hwy
Seaford, DE 19973-6750
Phone
(302) 258-5810
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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

Authorized official

Name
Mrs. Ashley E Taylor, NP
Title
Provider/Aprn
Phone
(302) 258-5810

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

4186 Stein Hwy
Seaford, DE 19973-6750

Mailing address

23000 Sussex Hwy # 166
Seaford, DE 19973-5866

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lowershorepcw@gmail.com

National Provider Directory

National Provider Directory

Locations

23000 Sussex Hwy
Seaford, DE 19973
Phone (302) 745-1157

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1639776784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 SUSSEX HWY # 166",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4186 STEIN HWY",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199736750",
            "telephone_number": "302-258-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER SHORE PRIMARY CARE AND WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER/APRN",
        "authorized_official_telephone_number": "302-258-5810",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lowershorepcw@gmail.com",
            "affiliation": "N",
            "address_1": "4186 Stein Hwy",
            "city": "Seaford",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199736750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.