Susan Miskovich Mehta, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

67386 Issued in NC

Practice address

219 Lephillip Court NE
Concord, NC 28025-2900

Phone

(704) 403-7770

Fax

(704) 403-7779

NPI assigned

Nov 3, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Concord Women'S Specialty Care, Inc.

  • Obstetrics & Gynecology Physician
  • Concord, NC
  • NPI 1144486333
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1295726602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 LEPHILLIP COURT NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252900",
            "telephone_number": "704-403-7770",
            "fax_number": "704-403-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 LEPHILLIP COURT NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252900",
            "telephone_number": "704-403-7770",
            "fax_number": "704-403-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SUSAN",
        "middle_name": "MISKOVICH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NC",
            "license": "076981",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "67386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN, GROUP CMCNE",
            "identifier": "232009",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Thompson Counseling & Consulting, PLLC
• Stacey Megrath
• Jordan Thayer Megratth
• Dhwani S Mehta, MD
• Shraeya Mehta, OD
• Vishal Jagdish Mehta, MD
• Michael John Meighen, MD
• Jessica Melara
• Rebeca Melendez Hernandez, LCAS
• Chelsea Elaine Meloche, MD

• Adult Health Nurse Practitioner in Concord, NC
• Providers in Concord, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.