Individual provider Active NPI

Marcia Winters, ARNP

  • Pediatric Nurse Practitioner
  • Burnsville, NC
National Provider Identifier
1831414903
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
5013542 Issued in NC
Practice address
202 Medical Campus Dr
Burnsville, NC 28714-9004
Phone
(828) 682-6118
NPI assigned
Apr 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1055822 FL
Pediatric Nurse Practitioner 363LP0200X 5013542 NC Primary

Addresses

Primary practice location

202 Medical Campus Dr
Burnsville, NC 28714-9004

Mailing address

202 Medical Campus Dr
Burnsville, NC 28714-9004
Phone (828) 682-6118

Other practice location 1

846 Lake Howell Rd
Maitland, FL 32751-5222
Phone (407) 767-2477

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

LicenseStateTypeSpecialty
1055822FLMDPediatric Nurse Practitioner
5013542NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Interlachen Pediatrics, P.a. Past Accepting new patients
Thomas a Fisk MD Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1831414903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MEDICAL CAMPUS DR",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287149004",
            "telephone_number": "828-682-6118",
            "fax_number": "828-682-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MEDICAL CAMPUS DR",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287149004",
            "telephone_number": "828-682-6118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "846 Lake Howell Rd",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327515222",
            "country_code": "US",
            "telephone_number": "407-767-2477",
            "fax_number": "407-767-7644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINTERS",
        "first_name": "MARCIA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-01",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "1055822",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5013542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.