Prosper at Home Health Care Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0516317 Issued in NC

Legal business name

PROSPER AT HOME HEALTH CARE SERVICES LLC

Practice address

7319 Yellowhorn TRL
Waxhaw, NC 28173-7465

Phone

(704) 907-0537

NPI assigned

May 27, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shawanda Lester Spencer, NP-CNPI 1992154959

Title

Managing Director/Head NP

Phone

(704) 907-0537

Specialties & licenses 1

Addresses

Other names 1

• Premium Direct Medical Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawanda Lester Spencer, NP-C

  • Family Nurse Practitioner
  • Charlotte, NC
  • NPI 1992154959
  NPD Authorized official

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1215385463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7319 YELLOWHORN TRL",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737465",
            "telephone_number": "704-907-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 YELLOWHORN TRL",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281737465",
            "telephone_number": "704-907-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPER AT HOME HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "SHAWANDA",
        "authorized_official_middle_name": "LESTER",
        "authorized_official_title_or_position": "MANAGING DIRECTOR/HEAD NP",
        "authorized_official_telephone_number": "704-907-0537",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "F0516317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premium Direct Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rodderrick Preacher, CRNA
• Premier Cardiovascular Care PLLC
• Savannah Pridgen, PT, DPT
• Profound Health PLLC
• Progress in Motion PLLC
• Armentha Prosper-Chicas, DDS
• Providence Oral Surgery and Dental Implant Center
• Ellen Pruss
• Sunita Sarin Przybylo, MD
• Michelle Cox Psyk, MACCCSLP

• Family Nurse Practitioner in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.