Active NPI
Uplift Mental Health Services, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1245926070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- UPLIFT MENTAL HEALTH SERVICES, PLLC
- Practice address
- 9121 Anson Way
Suite 200
Raleigh, NC 27615 - Phone
- (910) 505-0477
- NPI assigned
- Apr 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Monica Monique Fuller, NP
- Title
- Pmhnp
- Phone
- (336) 459-9565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
9121 Anson Way
Suite 200
Raleigh, NC 27615
Mailing address
3064 Wake Forest Rd # 1405
Raleigh, NC 27609-7844
Phone (336) 459-9565
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1245926070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3064 WAKE FOREST RD # 1405",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097844",
"telephone_number": "336-459-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9121 ANSON WAY",
"address_2": "SUITE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27615",
"telephone_number": "910-505-0477"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPLIFT MENTAL HEALTH SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-14",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "FULLER",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "MONIQUE",
"authorized_official_title_or_position": "PMHNP",
"authorized_official_telephone_number": "336-459-9565",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.