Individual provider Active NPI

Natalie Ann Macknet, NP-C

  • Nurse Practitioner
  • Monroe, NC
National Provider Identifier
1407313703
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011506 Issued in NC
Practice address
1107 Reynolds St
Monroe, NC 28112-4351
Phone
(704) 752-7575
NPI assigned
Feb 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1019458 TX
Nurse Practitioner 363L00000X 5011506 NC Primary

Addresses

Primary practice location

1107 Reynolds St
Monroe, NC 28112-4351

Mailing address

1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 752-7575

Other practice location 1

4401 Coit Rd Ste 411
Frisco, TX 75035-0520
Phone (972) 731-7654

Other practice location 2

7666 Charlotte Hwy Ste 220
Fort Mill, SC 29707-0004
Phone (704) 752-7575

Other practice location 3

7666 Charlotte Hwy Ste 220
Fort Mill, SC 29707-0004
Phone (704) 752-7575

Other practice location 4

1107 Reynolds St
Monroe, NC 28112-4351
Phone (704) 752-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190411000349 NC Practitioner - Nurse Practitioner 9537400965 Reassigns benefits to 1 organization
I20230410001120 SC Practitioner - Nurse Practitioner 9537400965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Ear Nose & Throat PA CurrentSince Mar 19, 2023 Accepting new patients
Cornerstone Ear Nose & Throat PA CurrentSince Sep 1, 2022 Accepting new patients

Locations

8035 Providence Rd
Ste 320
Charlotte, NC 28277
Phone (704) 752-7575

1107 Reynolds St
Monroe, NC 28112
Phone (704) 289-8220

7666 Charlotte Hwy
Ste 220
Indian Land, SC 29707
Phone (704) 752-7575

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1407313703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 REYNOLDS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124351",
            "telephone_number": "704-752-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 REYNOLDS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124351",
            "telephone_number": "704-752-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Coit Rd Ste 411",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750350520",
            "country_code": "US",
            "telephone_number": "972-731-7654",
            "fax_number": "972-731-6226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7666 Charlotte Hwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297070004",
            "country_code": "US",
            "telephone_number": "704-752-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7666 Charlotte Hwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297070004",
            "country_code": "US",
            "telephone_number": "704-752-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1107 Reynolds St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281124351",
            "country_code": "US",
            "telephone_number": "704-752-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKNET",
        "first_name": "NATALIE",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1019458",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.