Active NPI
Alissa Howard, REGISTERED NURSE
- Registered Nurse
- Charlotte, NC
National Provider Identifier
1336515659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 667572
- Practice address
- 2112 Highland Knoll Dr
Charlotte, NC 28269-3574 - Phone
- (704) 281-9928
- NPI assigned
- Aug 20, 2015
- Last updated
- May 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 291687 | NC | |
| Registered Nurse | 163W00000X | 667572 | NY | Primary |
| Home Health Registered Nurse | 163WH0200X | 667572 | NY | |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 667572 | NY | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 667572 | NY |
Addresses
Primary practice location
2112 Highland Knoll Dr
Charlotte, NC 28269-3574
Mailing address
11 Union St S Ste 314
Concord, NC 28025-5059
Phone (704) 281-9928
Other names 1
- Mrs. Alissa Howard
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291687 | NC | MD | Registered Nurse |
| 667572 | NY | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Over All, LLC | Current | Accepting new patients | |
| Family Over All, LLC | Current | Accepting new patients |
Locations
11 Union St S
Ste 314
Concord, NC 28025
Phone (704) 960-4097
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Concord, NC
- NPI 1902555808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652659200000",
"number": "1336515659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 UNION ST S STE 314",
"city": "CONCORD",
"state": "NC",
"postal_code": "280255059",
"telephone_number": "704-281-9928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2112 HIGHLAND KNOLL DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693574",
"telephone_number": "704-281-9928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "ALISSA",
"name_prefix": "Mrs.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-20",
"last_updated": "2022-05-16",
"certification_date": "2022-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "291687",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "667572",
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "667572",
"primary": false
},
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "NY",
"license": "667572",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "667572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALISSA",
"last_name": "HOWARD",
"prefix": "MRS.",
"credential": "REGISTERED NURSE",
"code": "5",
"type": "Other Name"
}
]
}
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 May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.