Native American Interfaith Ministries

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NATIVE AMERICAN INTERFAITH MINISTRIES

Practice address

450 Prospect Road
Pembroke, NC 28372

Phone

(910) 522-0900

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tony Vincent Locklear

Title

Executive Director

Phone

(910) 522-0900

Specialties & licenses 1

Addresses

Other names 1

• The Healing Lodge Doing business as

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1669655353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1695",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283721695",
            "telephone_number": "910-522-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PROSPECT ROAD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "28372",
            "telephone_number": "910-522-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICAN INTERFAITH MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-522-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Healing Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Swalanda A Morris
• Ms. Jane'S Professinal Center
• Ms. Shelvie'S Professional Center
• Jerri Lynn Musselwhite, PMHNP-BC
• Michael Musselwhite, MA, LAT, ATC
• Native Angels Homecare Agency Inc.
• Erika Nicholson
• Jessica Locklear Norris, FNP
• Makayla Norton
• Ohana Homecare LLC

• Community/Behavioral Health Agency in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.