Individual provider Active NPI

Darleatha Hiers, FNP

  • Family Nurse Practitioner
  • Statesville, NC
National Provider Identifier
1174011258
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5010376 Issued in NC
Practice address
536 Signal Hill Drive Ext
Statesville, NC 28625-4391
Phone
(704) 872-0234
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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 5010376 NC Primary

Addresses

Primary practice location

536 Signal Hill Drive Ext
Statesville, NC 28625-4391

Mailing address

9920 Gray Dove CT
Charlotte, NC 28216-5620
Phone (610) 453-4807

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
I20190605002772 NC Practitioner - Nurse Practitioner 6800129875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eleanor Health Professional NC, PLLC CurrentSince Jun 28, 2020 Accepting new patients
Addiction Recovery Medical Services Past Accepting new patients

Locations

2402 S Miami Blvd
Ste 101
Durham, NC 27703
Phone (919) 765-8730

Interoperability endpoints

  • Direct secure messaging: darleatha.hiers.1@18731.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1174011258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 GRAY DOVE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282165620",
            "telephone_number": "610-453-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SIGNAL HILL DRIVE EXT",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286254391",
            "telephone_number": "704-872-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIERS",
        "first_name": "DARLEATHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.