Active NPI
Susan Messick
- Family Nurse Practitioner
- Belmont, NC
National Provider Identifier
1164442869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 200968
- Practice address
- 6750 W Wilkinson Blvd
Belmont, NC 28012-6202 - Phone
- (704) 864-8749
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 200968 | NC | Primary |
Addresses
Primary practice location
6750 W Wilkinson Blvd
Belmont, NC 28012-6202
Mailing address
809 Jamestown Dr Apt 1
Gastonia, NC 28056-6403
Phone (704) 616-2063
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
| License | State | Type | Specialty |
|---|---|---|---|
| 200968 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Anesthesia Associates, P.a. | Past | Accepting new patients | |
| Pain Management Associates, P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Gastonia, NC
- NPI 1629024062
-
- Specialist
- Gastonia, NC
- NPI 1053367490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1164442869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 JAMESTOWN DR APT 1",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280566403",
"telephone_number": "704-616-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 W WILKINSON BLVD",
"city": "BELMONT",
"state": "NC",
"postal_code": "280126202",
"telephone_number": "704-864-8749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSICK",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "200968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belmont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.