Active NPI
Sanger Heart and Vascular Institute
- Adult Health Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1306125224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5005274
- Legal business name
- SANGER HEART AND VASCULAR INSTITUTE
- Practice address
- 1001 Blythe Blvd
# 300
Charlotte, NC 28203-5866 - Phone
- (704) 373-0212
- NPI assigned
- Aug 9, 2011
- 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. Saedra E Patella, ANP
- Title
- Adult Nurse Practitioner
- Phone
- (704) 373-0212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5005274 | NC | Primary |
Addresses
Primary practice location
1001 Blythe Blvd
# 300
Charlotte, NC 28203-5866
Mailing address
1001 Blythe Boulevard, Charlotte
# 300
Charlotte, NC 28203
Phone (919) 306-5992
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317686400000",
"number": "1306125224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BLYTHE BOULEVARD, CHARLOTTE",
"address_2": "# 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28203",
"telephone_number": "919-306-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD",
"address_2": "# 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035866",
"telephone_number": "704-373-0212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANGER HEART AND VASCULAR INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-09",
"last_updated": "2011-10-04",
"status": "A",
"authorized_official_last_name": "PATELLA",
"authorized_official_first_name": "SAEDRA",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
"authorized_official_telephone_number": "704-373-0212",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "ANP"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5005274",
"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 Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.