NPIMap

Organization Active NPI

Visionone Health Services, Inc.

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1346484284
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201762 Issued in NC
Legal business name
VISIONONE HEALTH SERVICES, INC.
Practice address
6047 Tyvola Glen Cir Ste 241
Charlotte, NC 28217-6436
Phone
(704) 414-6550
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mr. Gregory B. Lassiter Jr., MS
Title
Ceo/Founder
Phone
(704) 414-6500

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0100X 1131 NC
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X C005404 NC
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 201762 NC Primary

Addresses

Primary practice location

6047 Tyvola Glen Cir Ste 241
Charlotte, NC 28217-6436

Mailing address

6047 Tyvola Glen Cir Ste 241
Charlotte, NC 28217-6436
Phone (704) 414-6550

Other identifiers 1

IdentifierTypeStateIssuer
6113034MedicaidNC

National Provider Directory

National Provider Directory

Locations

6047 Tyvola Glen Cir
Ste 241
Charlotte, NC 28217
Phone (704) 414-6550

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1346484284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 TYVOLA GLEN CIR STE 241",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282176436",
            "telephone_number": "704-414-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6047 TYVOLA GLEN CIR STE 241",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282176436",
            "telephone_number": "704-414-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONONE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "704-414-6500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "NC",
            "license": "1131",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005404",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6113034",
            "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 Apr 22, 2009; 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.