Active NPI
James C Nourse, PH.D., L.AC.
- Clinical Psychologist
- Brevard, NC
National Provider Identifier
1881672772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2173
- Practice address
- 89 Medical Park Dr
Brevard, NC 28712-3035 - Phone
- (828) 698-8036
- Fax
- (828) 696-8304
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2173 | NC | Primary |
| Acupuncturist | 171100000X | 332 | NC |
Addresses
Primary practice location
89 Medical Park Dr
Brevard, NC 28712-3035
Mailing address
89 Medical Park Dr
Brevard, NC 28712-3035
Phone (828) 698-8036
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04191 | Other | NC | BCBS OF NC PROVIDER # |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332 | NC | MD | Acupuncturist |
| 2173 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260057600000",
"number": "1881672772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 MEDICAL PARK DR",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123035",
"telephone_number": "828-698-8036",
"fax_number": "828-696-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 MEDICAL PARK DR",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123035",
"telephone_number": "828-698-8036",
"fax_number": "828-696-8304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOURSE",
"first_name": "JAMES",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D., L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2009-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "2173",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "332",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC PROVIDER #",
"identifier": "04191",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.