County of Union

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

COUNTY OF UNION

Doing business as

Union Co Hlth Dept - Clinical Services

Practice address

2330 Concord Ave
Monroe, NC 28110-8767

Phone

(704) 296-4816

Fax

(704) 296-4444

NPI assigned

Feb 15, 2007

Last updated

Nov 13, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brittany Lee Smith, CPC

Title

Billing Supervisor

Phone

(704) 296-4819

Specialties & licenses 10

Addresses

Other identifiers 3

Other names 1

• Union Co Hlth Dept - Clinical Services Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 7

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.

• Candace Crowe, DMD

  • General Practice Dentistry
  • Kannapolis, NC
  • NPI 1609910629
  Medicare reassignment NPD
• Maria Graziella Dichoso-Wood, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1932163227
  Medicare reassignment NPD
• Stephen Robert Keener, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1083757884
  Medicare reassignment NPD
• Laura L. Lupton, MD

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1740300185
  Medicare reassignment NPD
• Mary Elizabeth Sale Rukenbrod, FNP

  • Family Nurse Practitioner
  • Monroe, NC
  • NPI 1245373463
  Medicare reassignment NPD
• Alexis Marie Koerner Sabul, LCSWA

  • Clinical Social Worker
  • Monroe, NC
  • NPI 1265232706
  NPD
• Bethany Fosu, MD

  • Pediatrics Physician
  • Monroe, NC
  • NPI 1538653738
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1386787422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 CONCORD AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108767",
            "telephone_number": "704-296-4816",
            "fax_number": "704-296-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 CONCORD AVE",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108767",
            "telephone_number": "704-296-4816",
            "fax_number": "704-296-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF UNION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "704-296-4819",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "07184",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLINA ACCESS NUMBER",
            "identifier": "3404390",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3404390",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Co Hlth Dept - Clinical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Michelle Cooper, CSAC
• Jennifer Arlette Corbett
• Cornerstone Caregiving East LLC
• Cornerstone Ear Nose & Throat PA
• Robert Kenneth Costa, MD
• County of Union (Union Co Hlth Dept - Dental Clinic)
• County of Union
• County of Union (Union Co Hlth Dept - HIV Case Management)
• Audrey Courtney
• Covenantal Health PLLC

• Nurse Practitioner in Monroe, NC
• Providers in Monroe, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.