Organization Active NPI

First Assistant Surgical Team

  • Adult Health Nurse Practitioner
  • Hendersonville, NC
National Provider Identifier
1659686319
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
0050-03748 Issued in NC
Legal business name
FIRST ASSISTANT SURGICAL TEAM
Practice address
1034 Kanuga Rd
Hendersonville, NC 28739-5624
Phone
(828) 674-0781
Fax
(828) 891-4069
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Authorized official

Name
Judith A Sheehan, ANP-C
Title
Owner
Phone
(828) 674-0781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X 0050-03748 NC Primary

Addresses

Primary practice location

1034 Kanuga Rd
Hendersonville, NC 28739-5624

Mailing address

PO Box 1689
Etowah, NC 28729-1689
Phone (828) 891-5524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282089600000",
    "number": "1659686319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1689",
            "city": "ETOWAH",
            "state": "NC",
            "postal_code": "287291689",
            "telephone_number": "828-891-5524",
            "fax_number": "828-891-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 KANUGA RD",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287395624",
            "telephone_number": "828-674-0781",
            "fax_number": "828-891-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ASSISTANT SURGICAL TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2010-08-18",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-674-0781",
        "authorized_official_credential": "ANP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "0050-03748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.