Organization Active NPI

Topsail Family Medicine and Urgent Care,PLLC

  • Family Nurse Practitioner
  • Hampstead, NC
National Provider Identifier
1942269808
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
57246 Issued in NC
Legal business name
TOPSAIL FAMILY MEDICINE AND URGENT CARE,PLLC
Practice address
16747 US Highway 17 N
Ste 114
Hampstead, NC 28443-3086
Phone
(910) 270-0052
Fax
(910) 270-0660
NPI assigned
Mar 20, 2006
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Sondra Louise McKellar, F.N.P.
Title
Owner, F.N.P.
Phone
(910) 270-0052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 57246 NC Primary

Addresses

Primary practice location

16747 US Highway 17 N
Ste 114
Hampstead, NC 28443-3086

Mailing address

16747 US Highway 17 N
Ste 114
Hampstead, NC 28443-3086
Phone (910) 270-0052

Other identifiers 2

IdentifierTypeStateIssuer
8944810MedicaidNC
1780680801OtherNCNPPES

National Provider Directory

National Provider Directory

Locations

16747 US Highway 17
Ste 114
Hampstead, NC 28443
Phone (910) 270-0052

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1942269808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16747 US HIGHWAY 17 N",
            "address_2": "STE 114",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433086",
            "telephone_number": "910-270-0052",
            "fax_number": "910-270-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16747 US HIGHWAY 17 N",
            "address_2": "STE 114",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433086",
            "telephone_number": "910-270-0052",
            "fax_number": "910-270-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOPSAIL FAMILY MEDICINE AND URGENT CARE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "MCKELLAR",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER, F.N.P.",
        "authorized_official_telephone_number": "910-270-0052",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "57246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8944810",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1780680801",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampstead, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.