Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Carla Samantha Vasquez, FNP

Individual provider Preventive Medicine/Occupational Environmental Medicine Physician · NPI 1225674088

Mrs. Carla Samantha Vasquez, FNP is a Nurse Practitioner in Yadkinville, North Carolina. Qualified in 2019, 7 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

305 E Lee Ave
Yadkinville, NC 27055-8132
Phone: (336) 679-2661
Fax: (336) 679-7056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 E 20th St, Newton, NC 28658-1955 — (336) 391-2047

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5012577 (NC)
Preventive Medicine/Occupational Environmental Medicine Physician Taxonomy 2083P0500X · Licence 247085 (NC)

Record details

NPI number1225674088
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 26, 2019
Last updated in NPPESOctober 26, 2020
Certification dateSeptember 29, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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