Active NPI
Marie Myhand, FNP-C
- Family Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1265735104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5005006
- Practice address
- 10512 Park Rd Ste 210
Charlotte, NC 28210-8469 - Phone
- (704) 790-2450
- Fax
- (704) 790-2451
- NPI assigned
- Dec 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5005006 | NC | Primary |
Addresses
Primary practice location
10512 Park Rd Ste 210
Charlotte, NC 28210-8469
Mailing address
7714 Nicolette CT
Charlotte, NC 28215-7790
Phone (704) 564-4409
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5005006 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1265735104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7714 NICOLETTE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282157790",
"telephone_number": "704-564-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10512 PARK RD STE 210",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108469",
"telephone_number": "704-790-2450",
"fax_number": "704-790-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYHAND",
"first_name": "MARIE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-15",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5005006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.