Individual provider Active NPI

Laventrice Hilton

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1316460322
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
243974 Issued in NC
Practice address
9212 Bradstreet Commons Way
Charlotte, NC 28215-7303
Phone
(704) 534-2449
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 243974 NC Primary

Addresses

Primary practice location

9212 Bradstreet Commons Way
Charlotte, NC 28215-7303

Mailing address

9212 Bradstreet Commons Way
Charlotte, NC 28215-7303
Phone (704) 534-2449

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
I20180605002910 NC Practitioner - Nurse Practitioner 7810252251 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243974NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LM Hilton Health and Wellness Family CurrentSince Jul 24, 2022 Accepting new patients
MC Family Medical, PLLC CurrentSince Apr 2, 2018 Accepting new patients
FCRX Inc PastSince Apr 2, 2018 Accepting new patients

Locations

6700 Albemarle Rd
Charlotte, NC 28212
Phone (704) 921-1000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316460322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 BRADSTREET COMMONS WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157303",
            "telephone_number": "704-534-2449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 BRADSTREET COMMONS WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157303",
            "telephone_number": "704-534-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILTON",
        "first_name": "LAVENTRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "243974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.