Organization Active NPI

Compass Health Direct Primary Care Corporation

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1689495590
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
COMPASS HEALTH DIRECT PRIMARY CARE CORPORATION
Practice address
6208 Fayetteville Rd
Suite 101
Durham, NC 27713
Phone
(984) 265-7334
Fax
(984) 224-8726
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Erin Kosich, FNP
Title
Owner
Phone
(919) 389-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

6208 Fayetteville Rd
Suite 101
Durham, NC 27713

Mailing address

6208 Fayetteville Rd
Suite 101
Durham, NC 27713
Phone (984) 265-7334

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2300849Compass Health Direct Primary Care Corporation, PC6208 Fayetteville Rd Suite 101, Durham, NC 27713Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1689495590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 FAYETTEVILLE RD",
            "address_2": "SUITE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "984-265-7334",
            "fax_number": "984-224-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 FAYETTEVILLE RD",
            "address_2": "SUITE 101",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "984-265-7334",
            "fax_number": "984-224-8726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS HEALTH DIRECT PRIMARY CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "KOSICH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-389-0900",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.