Individual provider Active NPI

Meghan Leigh McInnis, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1093228827
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5010117 Issued in NC
Practice address
8201 Healthcare Loop Ste 201
Charlotte, NC 28215-7072
Phone
(980) 302-2000
Fax
(980) 302-2020
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10170528 NC
Nurse Practitioner 363L00000X 5010117 NC Primary

Addresses

Primary practice location

8201 Healthcare Loop Ste 201
Charlotte, NC 28215-7072

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-4485

Other practice location 1

1718 E 4th St Ste 707
Charlotte, NC 28204-3282
Phone (704) 316-4485

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmcinnis534457@direct.novanthealth.org

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10170528NCMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: meghan.mcinnis@135040546177028.direct.elationemr.com

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1093228827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-4485",
            "fax_number": "704-316-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 HEALTHCARE LOOP STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157072",
            "telephone_number": "980-302-2000",
            "fax_number": "980-302-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 E 4th St Ste 707",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043282",
            "country_code": "US",
            "telephone_number": "704-316-4485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINNIS",
        "first_name": "MEGHAN",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F10170528",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmcinnis534457@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8201 Healthcare Loop Ste 201",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282157072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.