Piedmont Family Healthcare

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

2337222 Issued in NC

Legal business name

PIEDMONT FAMILY HEALTHCARE

Practice address

5321 Villas CT
Winston Salem, NC 27103-6467

Phone

(614) 546-6260

NPI assigned

Jul 13, 2016

Last updated

Jul 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Dipertscott, NP

Title

Owner

Phone

(614) 546-6260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1679925788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 VILLAS CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 VILLAS CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036467",
            "telephone_number": "614-546-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT FAMILY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "DIPERTSCOTT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-546-6260",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "NC",
            "license": "2337222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Piedmont Cosmetic Surgery and Dermatology Center, PA
• Piedmont Dialysis Center of Wake Forest University (Piedmont Dialysis Center)
• Piedmont Ear, Nose & Throat Associates, P.a. (Piedmont Ear, Nose, and Throat)
• Piedmont Endoscopy Center, Inc.
• Piedmont Family & Occupational Medicine Urgent Care PLLC
• Piedmont Family Medicine, Occupational Health and Urgent Care, LLC
• Piedmont Foot and Ankle Associates PC
• Piedmont Gastroenterology Specialists, PA
• Piedmont Hem Onc Associates
• Piedmont Hematology-Oncology Associates, PLLC

• Family Health Clinical Nurse Specialist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Health Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.