AZALEA COAST BEHAVIORAL HEALTH
NPI 1386100360
Nurse Practitioner - Family in Wilmington, NC
NPI Status: Active since February 14, 2019
Contact Information
3333 WRIGHTSVILLE AVE STE M
WILMINGTON, NC
ZIP 28403
Phone: (910) 339-3519
Fax: (910) 769-1739
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 34D2240189
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-17-2025
About AZALEA COAST BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Azalea Coast Behavioral Health, a provider established in Wilmington, North Carolina operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1386100360 assigned on February 2019. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Azalea Coast Behavioral Health operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Azalea Coast Behavioral Health. The authorized official of this NPI record is Crystal Heath Office Manager (Office Manager)
- NPI
- 1386100360
- Provider Legal Name
- PERIHAN S. WARREN, FNP-C , LLC.
- Other Organization Name
- AZALEA COAST BEHAVIORAL HEALTH
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3333 WRIGHTSVILLE AVE STE M WILMINGTON, NC 28403
- Location Phone
- (910) 339-3519
- Location Fax
- (910) 769-1739
- Mailing Address
- 3333 WRIGHTSVILLE AVE STE M WILMINGTON, NC 28403
- Mailing Phone
- (910) 339-3519
- Mailing Fax
- (910) 769-1739
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2019
- Last Update Date
- 08-02-2022
- Code Navigator
A nurse practitioner (NP) like Azalea Coast Behavioral Health is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | |
| 2 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 3 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 34D2240189
- Facility Type
- Physician Office
- Certificate Effective Date
- October 18, 2023
- Certificate Expiration Date
- October 17, 2025
- Laboratory Director
- PERIHAN S. WARREN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Azalea Coast Behavioral Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 8 | 6 | 1 | 0 | 0 | 3 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 2 | 0 | 0 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 2 + 0 + 0 + 3 + 1 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1386100360 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
DESSIRAE MARIE BENNETT APRN
Nurse Practitioner
3333 WRIGHTSVILLE AVE STE M
WILMINGTON, NC
ZIP 28403
PERIHAN SIMPSON WARREN FNP-C
Nurse Practitioner
(Family)
3333 WRIGHTSVILLE AVE STE M
WILMINGTON, NC
ZIP 28403
MRS. CHASITY LADAIN MEADOWS MSW, LCAS, LCSWA
Counselor
(Addiction (Substance Use Disorder))
3333 WRIGHTSVILLE AVE STE M
WILMINGTON, NC
ZIP 28403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386100360, enumerated as an "organization" on February 14, 2019.
The provider is located at 3333 WRIGHTSVILLE AVE STE M WILMINGTON, NC 28403 and the phone number is (910) 339-3519.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
