Cape Carteret Family Medicine PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201471 Issued in NC

Legal business name

CAPE CARTERET FAMILY MEDICINE PA

Practice address

1057 Cedar Point Blvd
Unit D
Cedar Point, NC 28584-8020

Phone

(252) 764-2121

Fax

(252) 764-2135

NPI assigned

Feb 20, 2007

Last updated

Oct 22, 2014By 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

Joanne D Liles, NPNPI 1114964087

Title

Owner

Phone

(252) 764-2121

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Joanne D Liles, NP

  • Nurse Practitioner
  • Cedar Point, NC
  • NPI 1114964087
  Authorized official Same address or phone
• Heather Montgomery Mitchell, FNP

  • Nurse Practitioner
  • Louisburg, NC
  • NPI 1326278466

  Family

  NPD (past)
• Kirsten Leigh Stephenson, FNP-BC

  • Nurse Practitioner
  • Cedar Point, NC
  • NPI 1720753759

  Family

  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1912042920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 CEDAR POINT BLVD",
            "address_2": "UNIT D",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848020",
            "telephone_number": "252-764-2121",
            "fax_number": "252-764-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 CEDAR POINT BLVD",
            "address_2": "UNIT D",
            "city": "CEDAR POINT",
            "state": "NC",
            "postal_code": "285848020",
            "telephone_number": "252-764-2121",
            "fax_number": "252-764-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPE CARTERET FAMILY MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-764-2121",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004401",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bear Island Recovery Services, Inc.
• Cheyanne Bierly
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Medical Care Sea Spray)
• Kristine M Britten, RDH
• William E Bylund, MD
• Brandon Ryan Carney, PA-C
• Lisa G Dabney, MD
• Jarrett Marshall Darrah, DDS
• Dr Donna Michelle Gentry DDS PLLC
• Rebecca Lynn Droberg, CRNP ACNP, MS

• Family Nurse Practitioner in Cedar Point, NC
• Providers in Cedar Point, 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 Oct 22, 2014; 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.