Active NPI
Digital Health Innovation Learning Lab
- Public Health & General Preventive Medicine Physician
- Mooresville, NC
National Provider Identifier
1548064819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- DIGITAL HEALTH INNOVATION LEARNING LAB
- Practice address
- 1519 Mecklenburg Hwy Unit 362
Mooresville, NC 28123-2016 - Phone
- (989) 708-0349
- NPI assigned
- Apr 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeanette Allen, MBA
- Title
- General Manager
- Phone
- (989) 708-0349
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| School Counselor | 101YS0200X | |||
| Clinical Social Worker | 1041C0700X | |||
| School Social Worker | 1041S0200X | |||
| Public Health Dentistry | 1223D0001X | |||
| Dental Hygienist | 124Q00000X | |||
| Community Health Registered Nurse | 163WC1500X | |||
| General Practice Registered Nurse | 163WG0000X | |||
| Licensed Practical Nurse | 164W00000X | |||
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | |||
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | Primary | ||
| Community Health Nurse Practitioner | 363LC1500X | |||
| Community Health/Public Health Clinical Nurse Specialist | 364SC1501X |
Addresses
Primary practice location
1519 Mecklenburg Hwy Unit 362
Mooresville, NC 28123-2016
Mailing address
1519 Mecklenburg Hwy Unit 362
Mooresville, NC 28123-2016
Phone (989) 708-0349
Other practice location 1
940 E Park Dr Ste A
Harrisburg, PA 17111-2800
Phone (989) 708-0349
National Provider Directory
National Provider DirectoryLocations
1519 Mecklenburg Hwy
Unit 362
Mooresville, NC 28123
Phone (616) 881-6262
940 E Park Dr
Ste A
Harrisburg, PA 17111
Phone (989) 708-0349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743724800000",
"number": "1548064819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 MECKLENBURG HWY UNIT 362",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281232016",
"telephone_number": "989-708-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 MECKLENBURG HWY UNIT 362",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281232016",
"telephone_number": "989-708-0349"
}
],
"practiceLocations": [
{
"address_1": "940 E Park Dr Ste A",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171112800",
"country_code": "US",
"telephone_number": "989-708-0349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DIGITAL HEALTH INNOVATION LEARNING LAB",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "JEANETTE",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "989-708-0349",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223D0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Public Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SC1501X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Community Health/Public Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.