Prospero Health Partners North Carolina, PC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

PROSPERO HEALTH PARTNERS NORTH CAROLINA, PC

Practice address

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213

Phone

(866) 949-0108

NPI assigned

Feb 4, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Mann

Title

Credentialing Biliing Manager

Phone

(901) 422-7608

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David W Moen, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Wyoming, MN
  • NPI 1942312301
  NPD (past)

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1619509049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032626",
            "telephone_number": "901-422-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N TRYON ST STE 1600",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282020213",
            "telephone_number": "866-949-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERO HEALTH PARTNERS NORTH CAROLINA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING BILIING MANAGER",
        "authorized_official_telephone_number": "901-422-7608",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Vanderburg Propst, PA
• Jackson McGinnis Propst, DPT
• Aaron Robert Prosnitz, MD
• Prosper Prolific LLC.
• Prosperity Homecare LLC
• Prosperous Home Care Services, (PHCS) LLC
• Prosperous Living Home Health Services, LLC
• Prosperrose Counseling & Consulting PLLC
• Jodie Player Prosser, MD
• Prosthetic & Orthotic Institute Inc.

• Hospice and Palliative Medicine (Family Medicine) Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.