Individual provider Active NPI

Halie J Leatherman, DNP, FNP-C

  • Family Nurse Practitioner
  • Cherryville, NC
National Provider Identifier
1164295010
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020400 Issued in NC
Practice address
2501 Lincolnton Hwy
Cherryville, NC 28021-8346
Phone
(704) 445-7162
NPI assigned
Nov 2, 2023
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5020400 NC Primary

Addresses

Primary practice location

2501 Lincolnton Hwy
Cherryville, NC 28021-8346

Mailing address

912 Magnolia Grove Rd
Lincolnton, NC 28092-7902
Phone (980) 241-9628

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
I20241105003190 NC Practitioner - Nurse Practitioner 1355875998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 James Ave
Locust, NC 28097-4506
Phone (704) 296-4508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
316466NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jun 15, 2024 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jun 15, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 21, 2025 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

2501 Lincolnton Hwy
Cherryville, NC 28021
Phone (205) 545-5090

130 James Ave
Locust, NC 28097
Phone (704) 271-3777

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1164295010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 MAGNOLIA GROVE RD",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280927902",
            "telephone_number": "980-241-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LINCOLNTON HWY",
            "city": "CHERRYVILLE",
            "state": "NC",
            "postal_code": "280218346",
            "telephone_number": "704-445-7162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEATHERMAN",
        "first_name": "HALIE",
        "middle_name": "J",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherryville, NC

Sources for this page

Verify at the official NPI Registry.