MRS. NICOLE M BENTIVEGNA (NPI# 1326204280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326204280 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE M BENTIVEGNA |
| Credential | NP-C |
| Practice Address |
3125 Springbank Ln Ste A Charlotte NC 28226-3379 |
| Mailing Address |
1245 Brough Hall Dr Waxhaw NC 28173-6937 |
| Practice Telephone | 7047529346 |
| Practice Fax Number | 7049430641 |
| Mailing Telephone | 8048142483 |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5006674 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024167921 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8220 Meadowbridge Rd Ste 205, Mechanicsville, VA 231162340 | 8047300800 | 8047300839 |
| Street Address |
3125 SPRINGBANK LN STE A |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
| 1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
| 1558922096 | Nateka Austin | Nurse Practitioner | 5300 Fair Wind Ln, Charlotte, NC 28212-2223 | 2019-06-25 |
| 1073957205 | Gabrielle Picard | Nurse Practitioner | 228 Westinghouse Blvd, 104, Charlotte, NC 28273-6230 | 2013-04-18 |
| 1093831307 | David Wayne Unkle | Nurse Practitioner | 1523 Elizabeth Ave Ste 200, Charlotte, NC 28204-2794 | 2007-03-21 |
| 1578544409 | Mary Motley Hatchett | Nurse Practitioner | 10926 David Taylor Dr Ste 120s, Charlotte, NC 28262-1293 | 2005-11-08 |
| 1942819594 | Nigella Siegl | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-29 |
| 1659852028 | Corinne Arlene Worth | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2018-08-23 |
| 1932686128 | Misty Moore Reagan | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2018-07-20 |
| 1881110559 | Michelle Leigh Wood | Nurse Practitioner | 3125 Springbank Ln Ste E, Charlotte, NC 28226 | 2017-08-15 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on MRS. NICOLE M BENTIVEGNA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.