Individual provider Active NPI

Laura Michele Fleites, ARNP, FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1245614825
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015081 Issued in NC
Practice address
9628 Rea Rd
Charlotte, NC 28277-6697
Phone
(704) 542-5072
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 5015081 NC Primary
Family Nurse Practitioner 363LF0000X ARNP9294909 FL

Addresses

Primary practice location

9628 Rea Rd
Charlotte, NC 28277-6697

Mailing address

9628 Rea Rd
Charlotte, NC 28277-6697
Phone (704) 542-5072

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
I20240515003864 NC Practitioner - Nurse Practitioner 3274952312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9294909FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Vida, P.a. Current Accepting new patients

Organizations & group practices 1

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1245614825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9628 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776697",
            "telephone_number": "704-542-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9628 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776697",
            "telephone_number": "704-542-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEITES",
        "first_name": "LAURA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015081",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9294909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.