Organization Active NPI

Pronurse Medical Staffing, Inc

  • Licensed Practical Nurse
  • Charlotte, NC
National Provider Identifier
1306990197
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
HC1855 Issued in NC
Legal business name
PRONURSE MEDICAL STAFFING, INC
Practice address
1014 S Tryon St
Suite 106
Charlotte, NC 28203-4225
Phone
(704) 347-4767
Fax
(704) 347-4770
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Thomasina Smith Laney
Title
Administrator
Phone
(704) 347-4767

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X HC1855 NC
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X HC1855 NC
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X HC1855 NC Primary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X HC1855 NC

Addresses

Primary practice location

1014 S Tryon St
Suite 106
Charlotte, NC 28203-4225

Mailing address

1014 S Tryon St
Suite 106
Charlotte, NC 28203-4225
Phone (704) 347-4767

Other identifiers 1

IdentifierTypeStateIssuer
6600719MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Pronurse2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306990197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S TRYON ST",
            "address_2": "SUITE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034225",
            "telephone_number": "704-347-4767",
            "fax_number": "704-347-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 S TRYON ST",
            "address_2": "SUITE 106",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282034225",
            "telephone_number": "704-347-4767",
            "fax_number": "704-347-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONURSE MEDICAL STAFFING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LANEY",
        "authorized_official_first_name": "THOMASINA",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-347-4767",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "HC1855",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NC",
            "license": "HC1855",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "HC1855",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "HC1855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600719",
            "state": "NC"
        }
    ],
    "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 Sep 11, 2025; 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.