Safe Haven Family Practice, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SAFE HAVEN FAMILY PRACTICE, PLLC

Practice address

9338 Ames Hollow Rd
Charlotte, NC 28216-8787

Phone

(704) 509-4540

NPI assigned

Oct 31, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Renae English, FNP

Title

Family Nurse Practitioner

Phone

(704) 509-4540

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1992081335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681954",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282160032",
            "telephone_number": "704-509-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9338 AMES HOLLOW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282168787",
            "telephone_number": "704-509-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "704-509-4540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Safe and Easy Transportation, LLC
• Safe and Sound Medical Transportation Inc
• Safe at Home Care, LLC
• Safe Haven Child and Family Counseling Services,LLC
• Safe Haven Family Abuse Center
• Safe Haven Home for Girls, PLLC
• Safe Haven Psychiatrics PLLC
• Safe Havens Home Health LLC
• Safe Rides Inc
• Safe Spaces Heal, LLC

• Primary Care Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.