Imperial Health Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

206898 Issued in NC

Legal business name

IMPERIAL HEALTH SERVICES LLC

Practice address

707 S Main St
Kannapolis, NC 28081

Phone

(704) 617-2242

NPI assigned

May 5, 2017

Last updated

May 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Paula L Dixon, FNPNPI 1336491885

Title

Family Nurse Practitioner

Phone

(704) 617-2242

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19828/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Paula Le'Shae Dixon, FNP-BC

  • Family Nurse Practitioner
  • Kannapolis, NC
  • NPI 1336491885
  Medicare reassignment NPD Authorized official
• Eddie Resquites Hermosisima, M.D.

  • Adult Medicine Physician
  • Kannapolis, NC
  • NPI 1902807068
  NPD (past)

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1629504949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S MAIN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "280814915",
            "telephone_number": "704-617-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S MAIN ST",
            "city": "KANNAPOLIS",
            "state": "NC",
            "postal_code": "28081",
            "telephone_number": "704-617-2242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 S Main St",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "28081",
            "country_code": "US",
            "telephone_number": "704-617-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMPERIAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "704-617-2242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "206898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Sidney Hunter, D.D.S.
• Kristie E. Huntley
• Lora Hurley, N.D., CTN
• Impact
• Impact Specialized Transport
• Kaya Inamdar, BCBA
• Independent Nephrology Services, Inc. (INS - Cabarrus County)
• Indycare Medical North Carolina (IndyCare Hillsborough)
• Inpatient Consultants of North Carolina, PC
• Institute for Divine Health

• Family Nurse Practitioner in Kannapolis, NC
• Providers in Kannapolis, 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 May 22, 2019; 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.