Active NPI
Bandana Gyawali
- Acute Care Nurse Practitioner
- Mooresville, NC
National Provider Identifier
1871426452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 344413
- Practice address
- 119 Summerhill Dr
Mooresville, NC 28115-0230 - Phone
- (516) 451-0948
- NPI assigned
- Jun 4, 2026
- Last updated
- Jun 4, 2026
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 344413 | NC | Primary |
Addresses
Primary practice location
119 Summerhill Dr
Mooresville, NC 28115-0230
Mailing address
119 Summerhill Dr
Mooresville, NC 28115-0230
Phone (516) 451-0948
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 |
|---|---|---|---|
| 344413 | NC | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1871426452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 SUMMERHILL DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281150230",
"telephone_number": "516-451-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 SUMMERHILL DR",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281150230",
"telephone_number": "516-451-0948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GYAWALI",
"first_name": "BANDANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-04",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NC",
"license": "344413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.