20NW
Organization Active NPI Nurse Practitioner · New Bern, NC
NPI 1942960901 · NPPES record last updated Dec 17, 2021
Key facts
- NPI
- 1942960901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- 20NW
- Practice address
- 2701 Amhurst Blvd # Villab
New Bern, NC 28562-4294 - Phone
- (252) 670-8573
- NPI assigned
- Dec 17, 2021
- Organization subpart
- No
Authorized official
- Name
- Sonya Williams
- Title
- President
- Phone
- (252) 670-8573
Practitioners 1
-
Sonya Burke Williams, RN, MSN, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220124001422 | NC | Part B Supplier - Clinic/Group Practice | 3072905199 |
Receives reassigned benefits from 1 practitioner Practice locations: New Bern, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
2701 Amhurst Blvd # Villab
New Bern, NC 28562-4294
Mailing address
1225 National Ave
New Bern, NC 28560-3275
Phone (252) 670-8573
Other providers in New Bern, NC
- A Better Place Behavioral Health
- A Fresh Start Behavioral Health Services, PLLC
- Diane I Abbey
- Accommodating Home Care Service, Inc
- Amanda Aceves
All providers in New Bern, NC · Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.