Individual provider Active NPI

Shari Ann Levesque, NP

  • Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1306103262
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008549 Issued in NC
Practice address
6909 Prosperity Church Rd
Huntersville, NC 28078-6698
Phone
(704) 316-2050
Fax
(704) 316-2051
NPI assigned
Apr 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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 NPP37675 RI
Nurse Practitioner 363L00000X 5008549 NC Primary

Addresses

Primary practice location

6909 Prosperity Church Rd
Huntersville, NC 28078-6698

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 316-2050

Other practice location 1

13815 Professional Center Dr
Suite 100
Huntersville, NC 28078-7950
Phone (704) 316-2050

Other practice location 2

10220 Prosperity Park Dr Ste 300
Charlotte, NC 28269-1106
Phone (704) 316-2050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slevesque334472@direct.novanthealth.org

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
I20160829000243 NC Practitioner - Nurse Practitioner 5890950430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Past Accepting new patients
The Miriam Hospital Past Accepting new patients

Organizations & group practices 2

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": "1334620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1306103262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-316-2050",
            "fax_number": "704-316-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 PROSPERITY CHURCH RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786698",
            "telephone_number": "704-316-2050",
            "fax_number": "704-316-2051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13815 Professional Center Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280787950",
            "country_code": "US",
            "telephone_number": "704-316-2050",
            "fax_number": "704-316-2051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10220 Prosperity Park Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282691106",
            "country_code": "US",
            "telephone_number": "704-316-2050",
            "fax_number": "704-316-2051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "SHARI",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-17",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "NPP37675",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slevesque334472@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "13815 Professional Center Dr",
            "address_2": "Suite 100",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280787950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.