Individual provider Active NPI

Danielle Nicole Gatton, FNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1194912485
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5003617 Issued in NC
Practice address
15015 Lancaster Hwy Ste 200
Charlotte, NC 28277-2010
Phone
(980) 202-7980
Fax
(980) 301-9831
NPI assigned
Oct 1, 2007
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4187 SC
Family Nurse Practitioner 363LF0000X 152220 NC
Nurse Practitioner 363L00000X 5003617 NC Primary

Addresses

Primary practice location

15015 Lancaster Hwy Ste 200
Charlotte, NC 28277-2010

Mailing address

PO Box 604050
Charlotte, NC 28260-4050

Other practice location 1

14125 Steele Creek Road
Charlotte, NC 28273
Phone (704) 787-5356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071215000039 NC Practitioner - Nurse Practitioner 1153411046 Reassigns benefits to 1 organization
I20100723000243 SC Practitioner - Nurse Practitioner 1153411046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC CurrentSince Dec 9, 2021 Accepting new patients
Carolinas Physicians Network Inc. Past Accepting new patients

Locations

15015 Lancaster Hwy
Ste 200
Charlotte, NC 28277
Phone (980) 202-7980

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

9101 Pineville Matthews Rd
Ste C4
Pineville, NC 28134
Phone (980) 202-7920

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, 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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1194912485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604050",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15015 LANCASTER HWY STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772010",
            "telephone_number": "980-202-7980",
            "fax_number": "980-301-9831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14125 Steele Creek Road",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "28273",
            "country_code": "US",
            "telephone_number": "704-787-5356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATTON",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4187",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "152220",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5003617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.