Nina Douglas Phaup, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

035453 Issued in NC

Practice address

3333 Silas Creek Pkwy
Winston-Salem, NC 27103-3013

Phone

(336) 718-5000

NPI assigned

Jul 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: nphaup145177@direct.novanthealth.org

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1679505960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272610607",
            "telephone_number": "336-841-5368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAUP",
        "first_name": "NINA",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "035453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8050524",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NPHAUP145177@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "3333 Silas Creek Pkwy",
            "city": "Winston-Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Quoc Pham
• Theresa Pham
• Daniel Duong Phan, M.D.
• Thai Phan, MD
• Kathryn Weldon Phares, CRNA
• Anna Rae Phelps, OTR/L
• Cathy Paul Phelps, P.A.-C
• Erin O'Malley Phelps, P.A.-C
• Valerie Phelps, SLP
• William A Philadelphia, PH.D.

• Certified Registered Nurse Anesthetist in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.