Active NPI
Patricia C Nielsen, NP
- Nurse Practitioner
- Winston-Salem, NC
National Provider Identifier
1811957103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 000940056
- Practice address
- 2001 Todays Woman Ave
Winston-Salem, NC 27105-5069 - Phone
- (336) 722-1818
- Fax
- (336) 722-1826
- NPI assigned
- Mar 23, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 000940056 | NC | Primary |
Addresses
Primary practice location
2001 Todays Woman Ave
Winston-Salem, NC 27105-5069
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 722-1818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7003684 | 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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000940056 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360195200000",
"number": "1811957103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803",
"telephone_number": "336-722-1818",
"fax_number": "336-722-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 TODAYS WOMAN AVE",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271055069",
"telephone_number": "336-722-1818",
"fax_number": "336-722-1826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIELSEN",
"first_name": "PATRICIA",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2013-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "000940056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003684",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston-Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.