Individual provider Active NPI

Deanna England Maclaren, FNPC

  • Nurse Practitioner
  • Supply, NC
National Provider Identifier
1871669275
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
201842 Issued in NC
Practice address
18 Doctors Cir
Supply, NC 28462-1101
Phone
(910) 754-6141
Fax
(910) 343-5223
NPI assigned
Nov 28, 2006
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0201842 NC
Nurse Practitioner 363L00000X 201842 NC Primary

Addresses

Primary practice location

18 Doctors Cir
Supply, NC 28462-1101

Mailing address

1173 Palatka PL SE
Bolivia, NC 28422-7472
Phone (828) 442-8941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220914002246 NC Order and Referring Only - Nurse Practitioner 3173549110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0201842NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McDowell Internal Medicine, PA Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1871669275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 PALATKA PL SE",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284227472",
            "telephone_number": "828-442-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 DOCTORS CIR",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284621101",
            "telephone_number": "910-754-6141",
            "fax_number": "910-343-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLAREN",
        "first_name": "DEANNA",
        "middle_name": "ENGLAND",
        "name_prefix": "Mrs.",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "0201842",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "201842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Supply, NC

Sources for this page

Verify at the official NPI Registry.