Individual provider Active NPI

Marsha Ann Laird, NP

  • Nurse Practitioner
  • Vanceboro, NC
National Provider Identifier
1922354869
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5005718 Issued in NC
Practice address
620 Farm Life Ave
Vanceboro, NC 28586
Phone
(252) 244-1785
Fax
(252) 244-2876
NPI assigned
Jul 30, 2012
Last updated
Aug 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5005718 NC Primary

Addresses

Primary practice location

620 Farm Life Ave
Vanceboro, NC 28586

Mailing address

PO Box 68
Pollocksville, NC 28573-0068
Phone (252) 635-3906

Other practice location 1

15 Yorkshire St
Suite 201
Asheville, NC 28803-7783
Phone (828) 274-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120910000878 NC Practitioner - Nurse Practitioner 8022266477 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western North Carolina Community Health Services, Inc. CurrentSince Mar 29, 2013 Accepting new patients
Carolinaeast Physicians Current Accepting new patients
Carolina East Physicians CurrentSince Jan 1, 2018 Accepting new patients
Carolinaeast Physicians CurrentSince Jan 1, 2018 Accepting new patients
Western North Carolina Community Health Services Inc. Current Accepting new patients
Western North Carolina Community Health Services, Inc. CurrentSince Mar 29, 2013 Accepting new patients

Locations

257 Biltmore Ave
Asheville, NC 28801
Phone (828) 285-0622

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

620 Farm Life Ave
Vanceboro, NC 28586
Phone (252) 244-1785

Interoperability endpoints

  • Direct secure messaging: marsha.laird.1@30520.direct.athenahealth.com
  • Direct secure messaging: marsha.laird@488678167609348.direct.elationemr.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534377600000",
    "number": "1922354869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "POLLOCKSVILLE",
            "state": "NC",
            "postal_code": "285730068",
            "telephone_number": "252-635-3906",
            "fax_number": "252-224-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 FARM LIFE AVE",
            "city": "VANCEBORO",
            "state": "NC",
            "postal_code": "28586",
            "telephone_number": "252-244-1785",
            "fax_number": "252-244-2876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Yorkshire St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288037783",
            "country_code": "US",
            "telephone_number": "828-274-1600",
            "fax_number": "828-274-1603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "MARSHA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2018-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vanceboro, NC

Sources for this page

Verify at the official NPI Registry.