Active NPI
Gisela Ernestine Stroud, NP-C
- Family Nurse Practitioner
- Kinston, NC
National Provider Identifier
1740460492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 065962
- Practice address
- 744 Airport Rd
Kinston, NC 28504-8800 - Phone
- (252) 523-0026
- Fax
- (252) 523-1855
- NPI assigned
- Nov 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 065962 | NC | Primary |
Addresses
Primary practice location
744 Airport Rd
Kinston, NC 28504-8800
Mailing address
744 Airport Rd
Kinston, NC 28504-8800
Phone (252) 523-0026
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0326 | Other | NC | MEDICARE GROUP PTAN |
| 1740460492 | Other | NC | INVIDUAL NPI |
| 8901960 | Other | NC | GROUP MEDICAID |
| 560989277 | Other | NC | GROUPTAX ID |
| 5908296 | Other | NC | EASTERN CAROLINA PHYSICIANS MEDICAID GROUP NUMBER FOR BEULAVILLE |
| 14767405431 | Other | NC | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065962 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1740460492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 AIRPORT RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048800",
"telephone_number": "252-523-0026",
"fax_number": "252-523-1855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 AIRPORT RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048800",
"telephone_number": "252-523-0026",
"fax_number": "252-523-1855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROUD",
"first_name": "GISELA",
"middle_name": "ERNESTINE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-10",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "065962",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "0326",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INVIDUAL NPI",
"identifier": "1740460492",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "8901960",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUPTAX ID",
"identifier": "560989277",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EASTERN CAROLINA PHYSICIANS MEDICAID GROUP NUMBER FOR BEULAVILLE",
"identifier": "5908296",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "14767405431",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.