Active NPI
Laura Therese Recchi, MD
- Pediatrics Physician
- Mooresville, NC
National Provider Identifier
1023250669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2017-01792
- Practice address
- 136 Gateway Blvd Ste a
Mooresville, NC 28117-5608 - Phone
- (704) 799-2878
- Fax
- (704) 799-1627
- NPI assigned
- Mar 27, 2009
- Last updated
- Sep 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 45399 | KY | |
| Pediatrics Physician | 208000000X | 2017-01792 | NC | Primary |
Addresses
Primary practice location
136 Gateway Blvd Ste a
Mooresville, NC 28117-5608
Mailing address
136 Gateway Blvd Ste a
Mooresville, NC 28117-5608
Phone (704) 799-2878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201073410 | Medicaid | IN | |
| 7100133010 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45399 | KY | MD | Pediatrics Physician |
| 2017-01792 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pediatrics and Adolescent Medicine, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Mooresville, NC
- NPI 1437102381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537315200000",
"number": "1023250669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 GATEWAY BLVD STE A",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175608",
"telephone_number": "704-799-2878",
"fax_number": "704-799-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 GATEWAY BLVD STE A",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281175608",
"telephone_number": "704-799-2878",
"fax_number": "704-799-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECCHI",
"first_name": "LAURA",
"middle_name": "THERESE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2018-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "45399",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2017-01792",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201073410",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100133010",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.