Individual provider Active NPI

Yvonne Marie McAuliffe, NP

  • Family Nurse Practitioner
  • Emporia, VA
National Provider Identifier
1942681093
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024172607 Issued in VA
Practice address
510 N Main St
Emporia, VA 23847-1236
Phone
(434) 634-7723
NPI assigned
Jun 15, 2015
Last updated
Mar 2, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024172607 VA Primary

Addresses

Primary practice location

510 N Main St
Emporia, VA 23847-1236

Mailing address

2838 Hunter Hill Rd
Rocky Mount, NC 27804-9775
Phone (252) 801-4048

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
I20160718001350 NC Practitioner - Nurse Practitioner 3870808108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024172607VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Water Medical, PA CurrentSince Dec 23, 2019 Accepting new patients
Open Water Medical, PA CurrentSince Dec 23, 2019 Accepting new patients

Locations

1620 Live Oak St
Ste C
Beaufort, NC 28516
Phone (252) 728-5737

1620C Live Oak St
Beaufort, NC 28516
Phone (252) 728-5737

1303 Water Plant Rd
Zebulon, NC 27597
Phone (919) 269-4101

Organizations & group practices 2

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1942681093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 HUNTER HILL RD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278049775",
            "telephone_number": "252-801-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471236",
            "telephone_number": "434-634-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAULIFFE",
        "first_name": "YVONNE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024172607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, VA

Sources for this page

Verify at the official NPI Registry.