NPIMap

Organization Active NPI

Mecklenburg County

  • State or Local Public Health Clinic/Center
  • Charlotte, NC
National Provider Identifier
1356876890
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
MECKLENBURG COUNTY
Practice address
249 Billingsley Rd
Charlotte, NC 28211-1003
Phone
(980) 314-9073
NPI assigned
Apr 21, 2017
Last updated
Apr 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Authorized official

Name
Lisvel Alexandra Matos, WHNPNPI 1871027441
Title
Physician Extender
Phone
(980) 314-9073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

249 Billingsley Rd
Charlotte, NC 28211-1003

Mailing address

7023 Passeres CT
Charlotte, NC 28215-8002

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1356876890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7023 PASSERES CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 BILLINGSLEY RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111003",
            "telephone_number": "980-314-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-21",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "LISVEL",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PHYSICIAN EXTENDER",
        "authorized_official_telephone_number": "980-314-9073",
        "authorized_official_credential": "WHNP"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2017; 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.