Individual provider Active NPI

C. Renee Worrell Wolfe, FNP-BC

  • Family Nurse Practitioner
  • Wilson, NC
National Provider Identifier
1841526316
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
147127 Issued in NC
Practice address
3520 Airport Blvd NW
Suite F
Wilson, NC 27896-8674
Phone
(252) 206-5622
Fax
(252) 206-5623
NPI assigned
Oct 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 147127 NC Primary

Addresses

Primary practice location

3520 Airport Blvd NW
Suite F
Wilson, NC 27896-8674

Mailing address

3520 Airport Blvd NW
Suite F
Wilson, NC 27896-8674
Phone (252) 206-5622

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

LicenseStateTypeSpecialty
147127NCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1841526316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 AIRPORT BLVD NW",
            "address_2": "SUITE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968674",
            "telephone_number": "252-206-5622",
            "fax_number": "252-206-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 AIRPORT BLVD NW",
            "address_2": "SUITE F",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968674",
            "telephone_number": "252-206-5622",
            "fax_number": "252-206-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "C. RENEE",
        "middle_name": "WORRELL",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "147127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.