Active NPI
Laura A. Hardcastle, NP
- Psychiatric/Mental Health Nurse Practitioner
- Concord, NC
National Provider Identifier
1609858745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 213355
- Practice address
- 101 Cabarrus Ave E
Concord, NC 28025-3699 - Phone
- (888) 849-7379
- Fax
- (855) 857-7333
- NPI assigned
- Nov 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000007621 | TN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 213355 | NC | Primary |
Addresses
Primary practice location
101 Cabarrus Ave E
Concord, NC 28025-3699
Mailing address
101 Cabarrus Ave E
Concord, NC 28025-3699
Phone (888) 849-7379
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3909263 | Medicaid | TN | |
| 7003994 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7621 | TN | MD | Speech-Language Pathologist |
| APN0000007621 | TN | MD | Nurse Practitioner |
| 213355 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eventus WH Southeast, LLC | Nurse Practitioner | Current | Accepting new patients |
| Eventus WH PLLC Care, LLC | Current | Accepting new patients | |
| Eventus Wholehealth Aco LLC | Nurse Practitioner | Current | Accepting new patients |
| Eventus Value Care, LLC | Current | Accepting new patients | |
| Psych Services LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217
212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028
160 Mine Lake Ct
#200
Raleigh, NC 27615
Phone (404) 805-4288
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Concord, NC
- NPI 1013680503
-
- Geriatric Medicine (Family Medicine) Physician
- Charlotte, NC
- NPI 1487494811
Nurse Practitioner
-
- Geriatric Medicine (Internal Medicine) Physician
- Concord, NC
- NPI 1023796307
Nurse Practitioner
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1639990658
-
- Nurse Practitioner
- Franklin, TN
- NPI 1689640468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1609858745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CABARRUS AVE E",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253699",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CABARRUS AVE E",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253699",
"telephone_number": "888-849-7379",
"fax_number": "855-857-7333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDCASTLE",
"first_name": "LAURA",
"middle_name": "A.",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-15",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000007621",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "213355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3909263",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7003994",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.