Individual provider Active NPI

Lee-Marie Davis Harkey, FNP-C

  • Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1225464126
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5006489 Issued in NC
Practice address
131 Welton Way
Mooresville, NC 28117-9163
Phone
(704) 360-4564
Fax
(704) 360-4553
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006489 NC
Nurse Practitioner 363L00000X 5006489 NC Primary

Addresses

Primary practice location

131 Welton Way
Mooresville, NC 28117-9163

Mailing address

131 Welton Way
Mooresville, NC 28117-9163
Phone (704) 360-4564

Other practice location 1

9841 Northlake Centre Pkwy
Charlotte, NC 28216-8930
Phone (704) 526-3648

Other practice location 2

440 Jake Alexander Blvd W
Salisbury, NC 28147-1365
Phone (704) 360-4564

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lhinson129043@direct.novanthealth.org

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
I20131202001252 NC Practitioner - Nurse Practitioner 0840426508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

131 Welton Way
Mooresville, NC 28117-9163
Phone (704) 360-4564

440 Jake Alexander Blvd W
Salisbury, NC 28147-1365
Phone (704) 637-5767

Merit-based Incentive Payment System (MIPS)

Final score
96.03 of 100Reported as group
Quality
90
Promoting interoperability
98
Improvement activities
40
Cost
74.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5006489NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pain and Weight Loss, PA Nurse Practitioner CurrentSince Nov 19, 2018 Accepting new patients
Carolina Pain and Weight Loss Nurse Practitioner CurrentSince Nov 19, 2018 Accepting new patients

Locations

131 Welton Way
Mooresville, NC 28117
Phone (704) 360-4564

440 Jake Alexander Blvd W
Salisbury, NC 28147
Phone (704) 360-4564

Interoperability endpoints

  • Direct secure messaging: lhinson129043@direct.novanthealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GGICCA

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1225464126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 WELTON WAY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179163",
            "telephone_number": "704-360-4564",
            "fax_number": "704-316-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 WELTON WAY",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179163",
            "telephone_number": "704-360-4564",
            "fax_number": "704-360-4553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9841 Northlake Centre Pkwy",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282168930",
            "country_code": "US",
            "telephone_number": "704-526-3648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "440 Jake Alexander Blvd W",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281471365",
            "country_code": "US",
            "telephone_number": "704-360-4564",
            "fax_number": "704-360-4553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARKEY",
        "first_name": "LEE-MARIE",
        "middle_name": "DAVIS",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006489",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhinson129043@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "9841 Northlake Centre Pkwy",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282168930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.