Active NPI
Lisa Huggins Oxendine, PA-C
- Pediatrics Physician
- Pembroke, NC
National Provider Identifier
1750366803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 101978
- Practice address
- 812 Candy Park Rd
Pembroke, NC 28372-9129 - Phone
- (910) 521-0201
- Fax
- (910) 521-0773
- NPI assigned
- Dec 13, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 101978 | NC | Primary |
Addresses
Primary practice location
812 Candy Park Rd
Pembroke, NC 28372-9129
Mailing address
400 Liberty Hill Rd
Lumberton, NC 28358-2446
Phone (910) 738-8060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101978 | Other | NC | NC LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101978 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1750366803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 LIBERTY HILL RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582446",
"telephone_number": "910-738-8060",
"fax_number": "910-671-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 CANDY PARK RD",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283729129",
"telephone_number": "910-521-0201",
"fax_number": "910-521-0773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OXENDINE",
"first_name": "LISA",
"middle_name": "HUGGINS",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-13",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "101978",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC LICENSE",
"identifier": "101978",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.