Nikki Crecy

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL026814 Issued in NC

Legal business name

NIKKI CRECY

Doing business as

Genesis A New Beginning

Practice address

6350 Hawfield Dr
Fayetteville, NC 28303-2021

Phone

(910) 867-8995

NPI assigned

Jun 16, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nikki Giovanni Creecy

Title

Faciity Director

Phone

(910) 257-6406

Specialties & licenses 1

Addresses

Other names 1

• Genesis A New Beginning Doing business as

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

{
    "created_epoch": "1181952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1861697203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 FLAT ROCK DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 HAWFIELD DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283032021",
            "telephone_number": "910-867-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKI CRECY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CREECY",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "GIOVANNI",
        "authorized_official_title_or_position": "FACIITY DIRECTOR",
        "authorized_official_telephone_number": "910-257-6406",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL026814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis A New Beginning",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ijada Nickle
• William Nickles, M.D.
• Roger Frank Nicosia, PT
• Julia Niemi, PA-C
• Carmen Gloria Nieves, LMBT
• Ivelca Nintzel, CRNA
• Peyton Niquiporo, LPN
• Kela Delphine Njike Tah
• Ifeoma Nnani, APRN, PMHNP-NP
• Noble Reach Community Services

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.