Individual provider Active NPI

Lougens Dessalines, FNP-BC

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1730908799
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024071693 Issued in NC
Practice address
10011 Providence Rd W
Charlotte, NC 28277-1561
Phone
(980) 245-8500
Fax
(980) 245-8568
NPI assigned
Oct 7, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2024071693 NC Primary

Addresses

Primary practice location

10011 Providence Rd W
Charlotte, NC 28277-1561

Mailing address

9903 Silverling Dr
Waxhaw, NC 28173-9834
Phone (980) 777-4777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250328003428 NC Practitioner - Nurse Practitioner 4183147267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Practice addresses (Care Compare)

550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2024071693NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitae Health Medical North Carolina, PLLC CurrentSince Dec 10, 2024 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Jan 5, 2026 Accepting new patients
Slimfit Wellness Clinic Current Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

10506 Clear Creek Commerce Dr
Mint Hill, NC 28227
Phone (704) 545-2377

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

33 Christian Ave
Concord, NH 03301
Phone (603) 224-5363

Organizations & group practices 4

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": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1730908799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 SILVERLING DR",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281739834",
            "telephone_number": "980-777-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 PROVIDENCE RD W",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771561",
            "telephone_number": "980-245-8500",
            "fax_number": "980-245-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESSALINES",
        "first_name": "LOUGENS",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "2024071693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.