White Lake Family Practice, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201247 Issued in NC

Legal business name

WHITE LAKE FAMILY PRACTICE, PLLC

Practice address

1921 White Lake Dr
Elizabethtown, NC 28337-6236

Phone

(910) 862-6491

Fax

(910) 862-7641

NPI assigned

Feb 24, 2010

Last updated

Feb 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Peggy Hill Newman, FNP-C

Title

Family Nurse Practitioner/Owner

Phone

(910) 862-6491

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1881916385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 WHITE LAKE DR",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283376236",
            "telephone_number": "910-862-6491",
            "fax_number": "910-862-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 WHITE LAKE DR",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283376236",
            "telephone_number": "910-862-6491",
            "fax_number": "910-862-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LAKE FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "HILL",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "910-862-6491",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.