Individual provider Active NPI

Sonya Renae Hardin, RN, PHD, NP-C

  • Adult Health Nurse Practitioner
  • Statesville, NC
National Provider Identifier
1861633372
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5004291 Issued in NC
Practice address
750 Hartness Rd Ste E
Statesville, NC 28677-3400
Phone
(704) 924-7575
Fax
(704) 924-7877
NPI assigned
Mar 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5004291 NC Primary

Addresses

Primary practice location

750 Hartness Rd Ste E
Statesville, NC 28677-3400

Mailing address

750 Hartness Rd Ste E
Statesville, NC 28677-3400
Phone (704) 924-7575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy, Registered Nurse

State licenses

LicenseStateTypeSpecialty
5004291NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Neurology East Past Accepting new patients
Carolina Neurology PA PastSince Jan 20, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5786/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1861633372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 HARTNESS RD STE E",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773400",
            "telephone_number": "704-924-7575",
            "fax_number": "704-924-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 HARTNESS RD STE E",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773400",
            "telephone_number": "704-924-7575",
            "fax_number": "704-924-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDIN",
        "first_name": "SONYA",
        "middle_name": "RENAE",
        "name_prefix": "Prof.",
        "credential": "RN, PHD, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.