IndividualActive
Nicole Prendergast
NPI 1073018081 · Sports Medicine (Emergency Medicine) Physician · Winston Salem, NC
Provider details
- NPI number
- 1073018081
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 65293 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone: (336) 716-2255
Approximate (ZIP-level) locationGet directions
Mailing address
Medical Center Boulevard
Winston Salem, NC 27157-0001
Additional practice locations (2)
- 900 Welch RdPalo Alto, CA 94304-1805Phone: (650) 723-9215
- 3601 the Vanderbilt ClinicNashville, TN 37232-1805Phone: (615) 322-5000
Registry dates
- Enumerated
- 2018-03-30
- Last updated
- 2023-07-04
- Certified
- 2023-07-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.