Express Care of Yadkin

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

201391 Issued in NC

Legal business name

EXPRESS CARE OF YADKIN

Practice address

755 S State St
Yadkinville, NC 27055-7756

Phone

(336) 849-4171

NPI assigned

Apr 3, 2017

Last updated

Apr 3, 2017By 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

Wendy Shumate, FNPNPI 1669446084

Title

Owner/ Manager

Phone

(336) 849-4171

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wendy Shew Shumate, FNP

  • Family Nurse Practitioner
  • Yadkinville, NC
  • NPI 1669446084
  NPD (past) Authorized official

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1740712116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S STATE ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557756",
            "telephone_number": "336-849-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 S STATE ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270557756",
            "telephone_number": "336-849-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS CARE OF YADKIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "SHUMATE",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "336-849-4171",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "201391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Pivnick Downey, D.C.
• Thomas James Dunning, PTA
• Jennifer Dyer
• Eckerd Corporation (Rite Aid Pharmacy 11318)
• Jerrold Max Evington
• Express Care of Yadkin LLC
• Vera Ellen Fitzgerald, MD
• Forsyth Memorial Hospital Inc (Novant Health Yadkin Medical Associates)
• Forsyth Memorial Hospital, Inc.
• Forsyth Memorial Hospital, Inc. (Novant Health Heart & Vascular Institute - Yadkinville)

• Primary Care Clinic/Center in Yadkinville, NC
• Providers in Yadkinville, 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 3, 2017; 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.