Active NPI
At Home Medical Care PLLC
- Adult Health Nurse Practitioner
- Southern Pines, NC
National Provider Identifier
1669013553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- AT HOME MEDICAL CARE PLLC
- Practice address
- 206 Commerce Ave
Southern Pines, NC 28387-7059 - Phone
- (910) 724-0182
- NPI assigned
- Oct 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liza Anton-Valdez, DNP, MSN, NP-C
- Title
- Nurse Practitioner
- Phone
- (910) 724-0182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
206 Commerce Ave
Southern Pines, NC 28387-7059
Mailing address
10 Lake Hills Rd
Pinehurst, NC 28374-9639
Phone (910) 724-0182
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695254400000",
"number": "1669013553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LAKE HILLS RD",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283749639",
"telephone_number": "910-724-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 COMMERCE AVE",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283877059",
"telephone_number": "910-724-0182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT HOME MEDICAL CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-02",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A",
"authorized_official_last_name": "ANTON-VALDEZ",
"authorized_official_first_name": "LIZA",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "910-724-0182",
"authorized_official_credential": "DNP, MSN, NP-C"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.