Active NPI
Nichol Pitts-Maldonado, HAIR LOSS SPECIALIST
- Prosthetics Case Management
- Charlotte, NC
National Provider Identifier
1700263365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- NH 2354
- Practice address
- 5326 Prosperity Ridge Rd Apt 105
Charlotte, NC 28269-0182 - Phone
- (704) 488-9897
- NPI assigned
- May 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | NH 2354 | NC | Primary |
Addresses
Primary practice location
5326 Prosperity Ridge Rd Apt 105
Charlotte, NC 28269-0182
Mailing address
8611 Concord Mills Blvd
212
Concord, NC 28027-5400
Phone (704) 488-9897
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
| License | State | Type | Specialty |
|---|---|---|---|
| NH 2354 | NC | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430697600000",
"number": "1700263365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8611 CONCORD MILLS BLVD",
"address_2": "212",
"city": "CONCORD",
"state": "NC",
"postal_code": "280275400",
"telephone_number": "704-488-9897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5326 PROSPERITY RIDGE RD APT 105",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282690182",
"telephone_number": "704-488-9897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS-MALDONADO",
"first_name": "NICHOL",
"credential": "HAIR LOSS SPECIALIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-04",
"last_updated": "2015-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": "NH 2354",
"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 May 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.