Individual provider Active NPI

Melissa Marie Kucharski

  • Prosthetics Case Management
  • Charlotte, NC
National Provider Identifier
1699059725
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
10-0023428 Issued in NC
Practice address
9805 Sandy Rock PL Ste H
Charlotte, NC 28277-7731
Phone
(704) 900-9589
Fax
(704) 377-9361
NPI assigned
Oct 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 10-0023428 NC Primary

Addresses

Primary practice location

9805 Sandy Rock PL Ste H
Charlotte, NC 28277-7731

Mailing address

9805 Sandy Rock PL Ste H
Charlotte, NC 28277-7731
Phone (980) 245-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10-0023428NCMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Franny's Unique Boutique LLC Current Accepting new patients
Frannys Pink Ribbon Girls Boutique CurrentSince Jul 7, 2024 Accepting new patients
Franny's Pink Ribbon Girls CurrentSince Jul 7, 2024 Accepting new patients

Locations

9805 Sandy Rock Pl
Ste H
Charlotte, NC 28277
Phone (704) 900-9589

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1699059725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 SANDY ROCK PL STE H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282777731",
            "telephone_number": "980-245-2018",
            "fax_number": "980-245-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 SANDY ROCK PL STE H",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282777731",
            "telephone_number": "704-900-9589",
            "fax_number": "704-377-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHARSKI",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "NC",
            "license": "10-0023428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.