Veronica Southerland, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5006949 Issued in NC

Practice address

8129 Madrigal CT
Waxhaw, NC 28173-8099

Phone

(704) 408-5096

NPI assigned

Jun 26, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13882/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gastonia Physician Services, PLLC

  • Emergency Medicine Physician
  • Gastonia, NC
  • NPI 1316367691
  Medicare reassignment NPD
• Carolina Pain Associates, PA

  • Pain Medicine Physician
  • Charlotte, NC
  • NPI 1134454853
  NPD
• Gastonia Physician Services, PLLC

  • Emergency Medicine Physician
  • Belmont, NC
  • NPI 1104644004
  NPD
• Texan Urgent Care PLLC

  dba FastMed Urgent Care

  • Emergency Medicine Physician
  • Scottsdale, AZ
  • NPI 1346545209
  NPD (past)

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1548675648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 MADRIGAL CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738099",
            "telephone_number": "704-408-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8129 MADRIGAL CT",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738099",
            "telephone_number": "704-408-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERLAND",
        "first_name": "VERONICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine J Smith
• Veronica Soeters
• Tara M. Soldano-Davis, M.A., LPC-A
• Soraya Montoya Soni, R.N.
• Southeast Child & Family Guidance, PLLC
• Kellie Marie Spear, LPCA
• Alexis Ann Stadler, LCMHCA
• Maria Nicole Stephens, MARIA STEPHENS OTR/L
• Christopher George Stephenson, M.D.
• Still Souls Wellness Studios, LLC

• Family Nurse Practitioner in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.