Organization Active NPI

Highland OB/GYN Clinic, PA

  • Advanced Practice Midwife
  • Fayetteville, NC
National Provider Identifier
1811448574
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
619 Issued in NC
Legal business name
HIGHLAND OB/GYN CLINIC, PA
Practice address
2301 Robeson St Ste 201
Fayetteville, NC 28305-5641
Phone
(910) 485-1191
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Angie L Brown
Title
Practice Administrator
Phone
(910) 485-1191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X 619 NC Primary

Addresses

Primary practice location

2301 Robeson St Ste 201
Fayetteville, NC 28305-5641

Mailing address

2301 Robeson St Ste 201
Fayetteville, NC 28305-5641
Phone (910) 485-1191

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1811448574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ROBESON ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055641",
            "telephone_number": "910-485-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ROBESON ST STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055641",
            "telephone_number": "910-485-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND OB/GYN CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-485-1191"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.