Back to Basics Home Medical Visits

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5005320 Issued in NC

Legal business name

BACK TO BASICS HOME MEDICAL VISITS

Practice address

6600 Frieden Church Rd
Gibsonville, NC 27249-9718

Phone

(336) 446-1141

Fax

(336) 446-0346

NPI assigned

Jan 18, 2014

Organization subpart

No

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

Authorized official

Name

Julie Rose Barr, NP

Title

Owner

Phone

(336) 446-1141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1851713390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRIEDEN CHURCH RD",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272499718",
            "telephone_number": "336-446-1141",
            "fax_number": "336-446-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRIEDEN CHURCH RD",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272499718",
            "telephone_number": "336-446-1141",
            "fax_number": "336-446-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BASICS HOME MEDICAL VISITS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-18",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-446-1141",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Gibsonville, NC
• Providers in Gibsonville, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.