Individual provider Active NPI

Laura Gregory, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1033722970
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013484 Issued in NC
Practice address
4115 The PLZ
Charlotte, NC 28205-1356
Phone
(704) 532-4567
NPI assigned
Aug 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 273884 NC
Family Nurse Practitioner 363LF0000X 5013484 NC Primary

Addresses

Primary practice location

4115 The PLZ
Charlotte, NC 28205-1356

Mailing address

4115 The PLZ
Charlotte, NC 28205-1356
Phone (704) 532-4567

Other identifiers 1

IdentifierTypeStateIssuer
F06202752OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111000637 NC Practitioner - Nurse Practitioner 0648680249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273884NCMDRegistered Nurse
5013484NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastowne Family Physicians, P.a CurrentSince Dec 11, 2023 Accepting new patients

Locations

4115 The Plaza
Charlotte, NC 28205
Phone (704) 493-9626

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFGDD/Endpoint/FCFGDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCFGDD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1033722970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051356",
            "telephone_number": "704-532-4567",
            "fax_number": "704-532-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 THE PLZ",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051356",
            "telephone_number": "704-532-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-30",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "273884",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F06202752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.