Back to Basics Family Practice Clinic, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BACK TO BASICS FAMILY PRACTICE CLINIC, PLLC

Practice address

941 Center Crest Dr
Ste C
Whitsett, NC 27377-8001

Phone

(336) 446-1141

Fax

(336) 446-0346

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Julie Rose Barr, ANP-BC

Title

Nurse Practitioner

Phone

(336) 446-1141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429920000000",
    "number": "1700280062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CENTER CREST DR",
            "address_2": "STE C",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273778001",
            "telephone_number": "336-446-1141",
            "fax_number": "336-446-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CENTER CREST DR",
            "address_2": "STE C",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273778001",
            "telephone_number": "336-446-1141",
            "fax_number": "336-446-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BASICS FAMILY PRACTICE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2015-04-25",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "336-446-1141",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Whitsett, NC
• Providers in Whitsett, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2015; 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.