Individual provider Active NPI

Anjalyse Maria Valenti, NP-C

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1740816685
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013957 Issued in NC
Practice address
9628 Rea Rd
Charlotte, NC 28277-6697
Phone
(704) 905-4221
NPI assigned
Mar 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179034 VA
Family Nurse Practitioner 363LF0000X 5013957 NC Primary

Addresses

Primary practice location

9628 Rea Rd
Charlotte, NC 28277-6697

Mailing address

9628 Rea Rd
Charlotte, NC 28277-6697
Phone (704) 542-5072

Other names 1

  • Ms. Anjalyse M Valenti Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013957NCMDFamily Nurse Practitioner
0024179034VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wingate University Past Accepting new patients

Organizations & group practices 1

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": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1740816685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9628 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776697",
            "telephone_number": "704-542-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9628 REA RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282776697",
            "telephone_number": "704-905-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTI",
        "first_name": "ANJALYSE",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-22",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179034",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJALYSE",
            "last_name": "VALENTI",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jan 14, 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.