Active NPI
Alice Diane Price, P.A.-C
- Physician Assistant
- Todd, NC
National Provider Identifier
1962709543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-02656
- Practice address
- 156 Timber Lakes Dr
Todd, NC 28684-9002 - Phone
- (828) 264-1337
- Fax
- (828) 268-9963
- NPI assigned
- Feb 17, 2011
- Last updated
- Feb 17, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-02656 | NC | Primary |
Addresses
Primary practice location
156 Timber Lakes Dr
Todd, NC 28684-9002
Mailing address
156 Timber Lakes Dr
Todd, NC 28684-9002
Phone (828) 264-1337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010-02656 | Other | NC | NC MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-02656 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297900800000",
"number": "1962709543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 TIMBER LAKES DR",
"city": "TODD",
"state": "NC",
"postal_code": "286849002",
"telephone_number": "828-264-1337",
"fax_number": "828-268-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 TIMBER LAKES DR",
"city": "TODD",
"state": "NC",
"postal_code": "286849002",
"telephone_number": "828-264-1337",
"fax_number": "828-268-9963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "ALICE",
"middle_name": "DIANE",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-17",
"last_updated": "2011-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-02656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAL BOARD",
"identifier": "0010-02656",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Todd, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.