Active NPI
Penny Miller Hearn, NP
- Nurse Practitioner
- Rocky Mount, NC
National Provider Identifier
1932214210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 120161
- Practice address
- 2460 Curtis Ellis Dr
Nash Breast Care Center
Rocky Mount, NC 27804-2237 - Phone
- (252) 962-6110
- NPI assigned
- Aug 20, 2006
- Last updated
- Dec 8, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 120161 | NC | Primary |
Addresses
Primary practice location
2460 Curtis Ellis Dr
Nash Breast Care Center
Rocky Mount, NC 27804-2237
Mailing address
2460 Curtis Ellis Dr
Nash Breast Care Center
Rocky Mount, NC 27804-2237
Phone (252) 962-6110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120161 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rex Hospital, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Rex Nutrition Services
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1932214210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 CURTIS ELLIS DR",
"address_2": "NASH BREAST CARE CENTER",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042237",
"telephone_number": "252-962-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 CURTIS ELLIS DR",
"address_2": "NASH BREAST CARE CENTER",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278042237",
"telephone_number": "252-962-6110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARN",
"first_name": "PENNY",
"middle_name": "MILLER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "120161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.