YMCA of Southeastern NC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YMCA OF SOUTHEASTERN NC

Practice address

2710 Market Street
Wilmington, NC 28403

Phone

(910) 251-8196

Fax

(844) 854-4659

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 2020By 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. Bridget Michelle CarrollNPI 1275490641

Title

Coordinator of Community Health Pro

Phone

(910) 251-9622

Specialties & licenses 1

Addresses

Tax ID family

Wilmington Family YMCA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Young Men's Christian Association of Southeastern North Carolina, Inc.

  dba Wilmington Family YMCA

  • Health Educator
  • Wilmington, NC
  • NPI 1932644119
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bridget Carroll

  • Nutrition Education Nutritionist
  • Wilmington, NC
  • NPI 1275490641
  NPD (past) Authorized official

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1902413875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3467",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28406",
            "telephone_number": "910-251-9622",
            "fax_number": "844-854-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 MARKET STREET",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-251-8196",
            "fax_number": "844-854-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMCA OF SOUTHEASTERN NC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "COORDINATOR OF COMMUNITY HEALTH PRO",
        "authorized_official_telephone_number": "910-251-9622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Marianna Yelverton
• Liudmila Yesaulava
• Jennifer Lauren Colwell Yinger, M.S., CCC-SLP
• Alex Garhoe Yip, M.D.
• Eliza Ylizarde
• Nina Leah Yokochi-Funkhouser, DO
• Kendall Walters Yokubaitis, MD
• James Reidar Yon, M.D.
• Kyler York, L.AC.
• Young Men's Christian Association of Southeastern North Carolina, Inc. (Wilmington Family YMCA)

• Health Educator in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Health Educator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.