Active NPI
Jennifer Lopez, FNP
- Family Nurse Practitioner
- Huntersville, NC
National Provider Identifier
1386182756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5009258
- Practice address
- 9604 Holly Point Dr
Huntersville, NC 28078-4913 - Phone
- (704) 316-5070
- Fax
- (704) 316-5075
- NPI assigned
- Feb 6, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5009258 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5009258 | NC | Primary |
Addresses
Primary practice location
9604 Holly Point Dr
Huntersville, NC 28078-4913
Mailing address
9604 Holly Point Dr
Huntersville, NC 28078-4913
Phone (704) 316-5070
Other practice location 1
264 Latitude Ln Ste 103
Lake Wylie, SC 29710-8129
Phone (803) 906-2100
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlopez412254@CarolinasHealthcareSystem.direct-ci.com | Atrium Health | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92054 | SC | MD | Family Medicine Physician |
| 5009258 | NC | MD | Nurse Practitioner |
Interoperability endpoints
- jlopez412254@carolinashealthcaresystem.direct-ci.com
- jlopez@dermcarecharlotte.emadirect.md
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1386182756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9604 HOLLY POINT DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280784913",
"telephone_number": "704-316-5070",
"fax_number": "704-316-5075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9604 HOLLY POINT DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280784913",
"telephone_number": "704-316-5070",
"fax_number": "704-316-5075"
}
],
"practiceLocations": [
{
"address_1": "264 Latitude Ln Ste 103",
"address_purpose": "LOCATION",
"city": "Lake Wylie",
"state": "SC",
"postal_code": "297108129",
"country_code": "US",
"telephone_number": "803-906-2100",
"fax_number": "803-906-2551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "JENNIFER",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-06",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009258",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5009258",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlopez412254@CarolinasHealthcareSystem.direct-ci.com",
"affiliation": "Y",
"affiliationName": "Atrium Health",
"address_1": "9332 S Tryon St",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282733108",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.