Individual provider Active NPI

Nicole Bernice Hight, MD

  • Pediatrics Physician
  • Charlotte, NC
National Provider Identifier
1013045921
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200700763 Issued in NC
Practice address
3135 Springbank LN Ste 100
Charlotte, NC 28226-3363
Phone
(704) 384-5151
Fax
(704) 446-1582
NPI assigned
Mar 1, 2007
Last updated
Nov 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 200700763 NC Primary

Addresses

Primary practice location

3135 Springbank LN Ste 100
Charlotte, NC 28226-3363

Mailing address

PO Box 601372
Charlotte, NC 28260-1372
Phone (704) 446-1422

Other identifiers 3

IdentifierTypeStateIssuer
1013045921MedicaidNC
5906707MedicaidNC
N0076FMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180809005601 NC Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5991896532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200700763NCMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1013045921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601372",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601372",
            "telephone_number": "704-446-1422",
            "fax_number": "704-446-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 SPRINGBANK LN STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263363",
            "telephone_number": "704-384-5151",
            "fax_number": "704-446-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHT",
        "first_name": "NICOLE",
        "middle_name": "BERNICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200700763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013045921",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906707",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0076F",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.