BEACH CARE PA (NPI# 1215082540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215082540 |
| Entity Type | Organization |
| Organization Name | BEACH CARE PA |
| Practice Address |
204 D New River Drive Surf City NC 28445 |
| Mailing Address |
Po Box 2267 Surf City NC 28445-9821 |
| Practice Telephone | 9103284729 |
| Practice Fax Number | 9103281942 |
| Mailing Telephone | 9103284729 |
| Mailing Fax Number | 9103281942 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-01-18 |
| Authorized Official Name | MRS. AVA MCPHERSON WHITE (PRESIDENT) |
| Authorized Official Telephone | 9103284729 |
| Authorized Official Credential | F.N.P.-C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
200319 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7000107 | 05 |
| Street Address |
204 D NEW RIVER DRIVE |
| City | SURF CITY |
| State | NC |
| Zip Code | 28445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790246304 | Christopher Burkett | Dietitian, Registered | Stone Bay Base Rr136, Fpo, AA 28445 | 2019-03-27 |
| 1154733707 | Valjoy Beach Care, P.a. | Physician Assistant | 204-d N New River Drive, Surf City, NC 28445 | 2014-05-29 |
| 1487078150 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 420 Fun Center Dr, Surf City, NC 28445 | 2014-02-14 |
| 1114272440 | Jennifer Nicole Buchanan | Pharmacist | 13500 Nc Hwy 50/210, Surf City, NC 28445 | 2012-07-24 |
| 1891027652 | Selena A Kennaday | Pharmacist | 420 Fun Center Drive, Walmart Pharmacy, Surf City, NC 28445 | 2010-02-04 |
| 1497964787 | Primary Vision Care Center, O.d., P.a. | Optometrist | 13520 Nc Hwy 50, Surf City, NC 28445 | 2007-05-22 |
| 1922120260 | Jim Lankford White | Dentist | 119 Holly Street, Holly Ridge, NC 28445 | 2007-04-06 |
| 1023163748 | Sandra Thompson Brown | Counselor | 114 Dunes Ct., Surf City, NC 28445 | 2007-01-24 |
| 1972657302 | Family Urgent Care of America, Inc | Non-Pharmacy Dispensing Site | 502 North Highway 17, Holly Ridge, NC 28445 | 2007-01-23 |
| 1659436608 | Time 2 Learn Inc | Community/Behavioral Health | 1111 North Shore Dr, Surf City, NC 28445 | 2006-12-27 |
| Find all providers in zip 28445 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.