Active NPI
Michael Leroy Hough, REGISTERED NURSE
- Home Health Registered Nurse
- Charlotte, NC
National Provider Identifier
1093467706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 153792
- Practice address
- 537 W Sugar Creek Rd
Charlotte, NC 28213-6102 - Phone
- (980) 337-9104
- Fax
- (980) 355-0048
- NPI assigned
- Jan 24, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 153792 | NC | Primary |
Addresses
Primary practice location
537 W Sugar Creek Rd
Charlotte, NC 28213-6102
Mailing address
537 W Sugar Creek Rd
Charlotte, NC 28213-6102
Phone (980) 337-9104
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153792 | NC | MD | Home Health Registered Nurse |
Interoperability endpoints
- https://api.platform.athenahealth.com/3904/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1093467706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 W SUGAR CREEK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282136102",
"telephone_number": "980-337-9104",
"fax_number": "980-355-0048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 W SUGAR CREEK RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282136102",
"telephone_number": "980-337-9104",
"fax_number": "980-355-0048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGH",
"first_name": "MICHAEL",
"middle_name": "LEROY",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NC",
"license": "153792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.