Organization Active NPI

Vista Health and Wellness, P.a.

  • Family Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1588939318
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
193480 Issued in NC
Legal business name
VISTA HEALTH AND WELLNESS, P.A.
Practice address
16600 Birkdale Commons Pkwy
Suite E
Huntersville, NC 28078-6181
Phone
(704) 896-8680
Fax
(704) 896-8380
NPI assigned
Mar 12, 2012
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Heather Stamey, FNP-BC
Title
Owner
Phone
(704) 896-8680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 193480 NC Primary

Addresses

Primary practice location

16600 Birkdale Commons Pkwy
Suite E
Huntersville, NC 28078-6181

Mailing address

16600 Birkdale Commons Pkwy
Suite E
Huntersville, NC 28078-6181
Phone (704) 896-8680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000250 NC Part B Supplier - Clinic/Group Practice 7810159167 Receives reassigned benefits from 3 practitioners
Practice locations: Huntersville, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2039766Vista Health and Wellness PA16600 Birkdale Commons Parkway Suite E, Huntersville, NC 28078Certificate of waiverApr 16, 2028

National Provider Directory

National Provider Directory

Locations

16600 Birkdale Commons Pkwy
Ste E
Huntersville, NC 28078
Phone (704) 896-8680

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1588939318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALE COMMONS PKWY",
            "address_2": "SUITE E",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786181",
            "telephone_number": "704-896-8680",
            "fax_number": "704-896-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 BIRKDALE COMMONS PKWY",
            "address_2": "SUITE E",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786181",
            "telephone_number": "704-896-8680",
            "fax_number": "704-896-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA HEALTH AND WELLNESS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "STAMEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-896-8680",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "193480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.