CASEY WALL SOUTHARDS FNP-C
NPI 1609123306
Nurse Practitioner - Family in Forest City, NC

Active since August 13, 2012
162 COMMERCIAL ST, SUITE B, FOREST CITY, NC 28043(828) 287-9325(828) 287-3594 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Casey Wall Southards Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASEY WALL SOUTHARDS FNP-C (NPI 1609123306) is an individual family provider in Forest City, North Carolina, licensed in North Carolina (5005745) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1609123306
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCASEY WALL SOUTHARDSCredential: FNP-C
Location Address162 COMMERCIAL ST, SUITE BForest City, NC 28043-2849
Mailing Address162 Commercial St, Suite BForest City, NC 28043-2849 · (828) 287-9325 · Fax (828) 287-3594
Fax(828) 287-3594
Sole ProprietorNo
Enumeration DateAugust 13, 2012
Last NPPES UpdateDecember 3, 2015
NPI 1609123306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5005745
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5005745 (NC)
162 COMMERCIAL ST, Forest City, NC 28043

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
162 COMMERCIAL ST, SUITE B
FOREST CITY, NC 28043
Physician Assistant
162 COMMERCIAL ST, B
FOREST CITY, NC 28043
Physician Assistant
162 COMMERCIAL ST, SUITE B
FOREST CITY, NC 28043

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Casey Southards's NPI number?

The NPI number for Casey Southards is 1609123306. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Where is Casey Southards located?

Casey Southards practices at 162 Commercial St Suite B, Forest City, NC 28043. The listed phone number is (828) 287-9325.

What is Casey Southards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Casey Southards was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.