Nash Street Healthcare

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

Legal business name

NASH STREET HEALTHCARE

Practice address

3725 Nash St NW
Wilson, NC 27896-1127

Phone

(252) 234-1720

Fax

(252) 234-1721

NPI assigned

Jul 23, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Sharon J Mitchell, FNPNPI 1497057046

Title

Owner

Phone

(252) 234-1720

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Nash Street Healthcare2 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.

• Nash Street Healthcare

  • Multi-Specialty Clinic/Center
  • Wilson, NC
  • NPI 1396135364
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nash Street Healthcare

  • Multi-Specialty Clinic/Center
  • Wilson, NC
  • NPI 1396135364
  NPPES parent name

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.

• Sharon Jeanette Mitchell, FNP

  • Family Nurse Practitioner
  • Wilson, NC
  • NPI 1497057046
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1912252263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8326",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278931326",
            "telephone_number": "252-234-1720",
            "fax_number": "252-234-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 NASH ST NW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961127",
            "telephone_number": "252-234-1720",
            "fax_number": "252-234-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASH STREET HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-234-1720",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921229",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick Myles Jr.
• Myles's Services, Inc.
• N.C. Kidney Care, P.a.
• Nash Street Family Practice , P.C.
• Nash Street Healthcare
• Natalie a. Doyle, M. D., P. a.
• Natalie a. Doyle, MD
• Creig Jermane Neal
• Douglas Russell Neal, OTR
• Nelms Family & Preventive Medicine, P.a. (Family Medicine)

• Family Health Clinical Nurse Specialist in Wilson, NC
• Providers in Wilson, NC by specialty
• Family Health Clinical Nurse Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.