Mountain Laurel Family Practice, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

200890 Issued in NC

Legal business name

MOUNTAIN LAUREL FAMILY PRACTICE, PLLC

Practice address

222 Longvue Dr
Boone, NC 28607-5060

Phone

(828) 355-9624

Fax

(828) 355-9626

NPI assigned

Jun 15, 2009

Last updated

Dec 2, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mona M McClure

Title

Office Manager

Phone

(828) 355-9624

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lindsay Gray Torruella, NP

  • Primary Care Nurse Practitioner
  • Boone, NC
  • NPI 1568335230
  Medicare reassignment Care Compare group NPD
• Leanne Young-Fritchie, FNP

  • Family Nurse Practitioner
  • Boone, NC
  • NPI 1346324159
  Medicare reassignment Care Compare group NPD
• Anne Dixon, PA-C

  • Medical Physician Assistant
  • Boone, NC
  • NPI 1033882816
  Medicare reassignment Care Compare group
• Deanna Renee Reary-Ledford

  • Family Nurse Practitioner
  • North Wilkesboro, NC
  • NPI 1497391809
  Medicare reassignment NPD
• Courtney Collier, PA

  • Physician Assistant
  • Boone, NC
  • NPI 1134691819
  Medicare reassignment

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1265669535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 LONGVUE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075060",
            "telephone_number": "828-355-9624",
            "fax_number": "828-355-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 LONGVUE DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075060",
            "telephone_number": "828-355-9624",
            "fax_number": "828-355-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAUREL FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-355-9624"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "200890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Catherine Motes, DO
• Motionatomy, PLLC (B3 Therapy, PLLC)
• Jamie Lynn Moul
• Mountain Care Facilities
• Mountain Family Medicine
• Mountaineer Medical Services, PLLC
• MSP Boone Clinic, PLLC
• Edith N Mubanda, RD.,LDN
• Howard Warren Mueller, M.D., PH.D.
• Carmen Danielle Mullen, PT

• Nurse Practitioner in Boone, NC
• Providers in Boone, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.