Active NPI
Alicia Marie Nagle, L.P.A, HSP-PA
- Psychologist
- Greenville, NC
National Provider Identifier
1811053077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3319
- Practice address
- 925 Conference Dr
Greenville, NC 27858-5971 - Phone
- (252) 756-4899
- Fax
- (252) 756-5141
- NPI assigned
- Dec 29, 2006
- Last updated
- Nov 22, 2010
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3319 | NC | Primary |
Addresses
Primary practice location
925 Conference Dr
Greenville, NC 27858-5971
Mailing address
925 Conference Dr
Greenville, NC 27858-5971
Phone (252) 756-4899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107489 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3319 | NC | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1811053077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 CONFERENCE DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585971",
"telephone_number": "252-756-4899",
"fax_number": "252-756-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 CONFERENCE DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585971",
"telephone_number": "252-756-4899",
"fax_number": "252-756-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGLE",
"first_name": "ALICIA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "L.P.A, HSP-PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107489",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
- Myeyedr Optometry of North Carolina, PLLC (MyEyeDr.)
- Myeyedr Optometry of North Carolina, PLLC (MyEyeDr.)
- Myeyedr Optometry of North Carolina, PLLC (MyEyeDr.)
- Fanny Myrick
- Sowmya Nagaraj, M.D
- Tineisha Chantese Nagle, ACNPC-AG, FNP-BC
- Andrew Emery Nagler Jr., RPH
- Roya Naim
- Yousef M. Naji, M.D.
- Riju Narayan, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.