Active NPI
Pronurse Medical Staffing, Inc
- Licensed Practical Nurse
- Charlotte, NC
National Provider Identifier
1306990197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- HC1855
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | HC1855 | NC | |
| Infusion Therapy Registered Nurse | 163WI0500X | HC1855 | NC | |
| Licensed Practical Nurse | 164W00000X | HC1855 | NC | Primary |
| Nurse's Aide | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600719 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Pronurse
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Infusion Therapy Registered Nurse
- Charlotte, NC
- NPI 1558387605
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.