Active NPI
High Country Recovery
- Addiction Medicine (Family Medicine) Physician
- Boone, NC
National Provider Identifier
1902441041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- Legal business name
- HIGH COUNTRY RECOVERY
- Practice address
- 838 State Farm Rd Ste B
Boone, NC 28607-5307 - Phone
- (828) 264-1282
- NPI assigned
- Nov 13, 2019
- Last updated
- Nov 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela Renee Queen
- Title
- Office Manager
- Phone
- (828) 506-1927
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | NU | Primary |
Addresses
Primary practice location
838 State Farm Rd Ste B
Boone, NC 28607-5307
Mailing address
2676 Lakeridge CT
Nebo, NC 28761-7626
Phone (828) 506-1927
National Provider Directory
National Provider DirectoryLocations
838 State Farm Rd
Ste B
Boone, NC 28607
Phone (828) 264-1282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573603200000",
"number": "1902441041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2676 LAKERIDGE CT",
"city": "NEBO",
"state": "NC",
"postal_code": "287617626",
"telephone_number": "828-506-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 STATE FARM RD STE B",
"city": "BOONE",
"state": "NC",
"postal_code": "286075307",
"telephone_number": "828-264-1282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH COUNTRY RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-13",
"last_updated": "2019-11-13",
"status": "A",
"authorized_official_last_name": "QUEEN",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "828-506-1927"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.