Active NPI
Bespoke RN, PLLC
- General Practice Registered Nurse
- Charlotte, NC
National Provider Identifier
1992683312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- Legal business name
- BESPOKE RN, PLLC
- Practice address
- 234 Lacewing Dr
Charlotte, NC 28214-0168 - Phone
- (910) 228-1215
- NPI assigned
- Aug 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danita McKoy, RN- BSN
- Title
- Co- Founder/Nurse
- Phone
- (910) 228-1215
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | Primary | ||
| Home Health Registered Nurse | 163WH0200X | |||
| Infusion Therapy Registered Nurse | 163WI0500X | |||
| Lactation Consultant (Registered Nurse) | 163WL0100X | |||
| Pain Management Registered Nurse | 163WP0000X | |||
| Plastic Surgery Registered Nurse | 163WS0121X | |||
| Wound Care Registered Nurse | 163WW0000X | |||
| Orthopedic Registered Nurse | 163WX0800X |
Addresses
Primary practice location
234 Lacewing Dr
Charlotte, NC 28214-0168
Mailing address
234 Lacewing Dr
Charlotte, NC 28214-0168
Phone (910) 228-1215
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756080000000",
"number": "1992683312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 LACEWING DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282140168",
"telephone_number": "910-228-1215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 LACEWING DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282140168",
"telephone_number": "910-228-1215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BESPOKE RN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-24",
"status": "A",
"authorized_official_last_name": "MCKOY",
"authorized_official_first_name": "DANITA",
"authorized_official_title_or_position": "CO- FOUNDER/NURSE",
"authorized_official_telephone_number": "910-228-1215",
"authorized_official_credential": "RN- BSN"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WL0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Pain Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WS0121X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WX0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Orthopedic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.