Sunny Bakalli Severance, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5005686 Issued in NC

Practice address

1220 Spruce St
Belmont, NC 28012-3370

Phone

(704) 825-5333

NPI assigned

Jul 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hospice and Palliative Care Charlotte RegionGroup PAC ID 1355331208, 19 clinicians

Hospice of Cleveland County, Inc.Group PAC ID 2668437914, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sseverance1020505@direct.novanthealth.org

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.

• Hospice & Palliative Care Charlotte Region

  • Community Based Hospice Care Agency
  • Charlotte, NC
  • NPI 1548398720
  Medicare reassignment Care Compare group NPD
• Hospice of Cleveland County, Inc.

  • Community Based Hospice Care Agency
  • Shelby, NC
  • NPI 1275536427
  Medicare reassignment Care Compare group NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Gastonia, NC
  • NPI 1356314272
  Medicare reassignment NPD
• NH-CL Clinics, LLC

  • Family Medicine Physician
  • Kernersville, NC
  • NPI 1487276499
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC, Nurse Practitioner

  Medicare reassignment NPD
• Carolina Caring Serious Illness, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Newton, NC
  • NPI 1083449680
  NPD
• Caromont Medical Group Inc

  • Pain Medicine (Anesthesiology) Physician
  • Belmont, NC
  • NPI 1710359757
  NPD
• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD
• Healthmed PC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1760771778
  NPD
• Hospice & Palliative Care Charlotte Region

  • Community Based Hospice Care Agency
  • Fort Mill, SC
  • NPI 1679991301
  NPD

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1073878252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SPRUCE ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123370",
            "telephone_number": "704-825-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 Wendover Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503565",
            "country_code": "US",
            "telephone_number": "704-487-4677",
            "fax_number": "704-481-8050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERANCE",
        "first_name": "SUNNY",
        "middle_name": "BAKALLI",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005686",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5005686",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7006512",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Shiv Pharmacy Inc.
• Alexa Carpenter Shull, FNP

• Family Nurse Practitioner in Belmont, NC
• Providers in Belmont, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.