COURTNEY FUSSELL (NPI# 1568953099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568953099 |
| Entity Type | Individual |
| Full Name | COURTNEY FUSSELL |
| Credential | FNP |
| Practice Address |
14214 Ballantyne Lake Rd Ste 100 Charlotte NC 28277-3372 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7046672650 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5010598 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10210 Couloak Dr, Ste E, Charlotte, NC 282167679 | 7048012000 | |
| 5717 Albemarle Rd, Charlotte, NC 282121634 | 7045632150 | |
| 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 282692206 | 7048639930 | |
| 7810 Providence Rd, Ste 102, Charlotte, NC 282262954 | 7045436636 |
| Street Address |
14214 BALLANTYNE LAKE RD STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3372 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972503332 | Joseph B Mcshea | Family Medicine | 14214 Ballantyne Lake Rd, Suite 100, Charlotte, NC 28277-3372 | 2005-07-28 |
| 1629626510 | Elena Higley | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2019-09-03 |
| 1376023937 | Rachel Fair | Physician Assistant | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2018-08-14 |
| 1295254076 | Quinn Kuntz | Physician Assistant | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2017-09-13 |
| 1386013480 | Stephanie Lisenby | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 | 2015-09-18 |
| 1851776850 | Alissa Meads | Nurse Practitioner | 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277-3372 | 2015-07-21 |
| 1417354861 | Chelsea Sams | Physician Assistant | 14214 Ballantyne Lake Rd, Suite 100, Charlotte, NC 28277-3372 | 2014-12-01 |
| 1124442769 | Corinne Sirois | Dietitian, Registered | 14214 Ballantyne Lake Rd, Ste 200, Charlotte, NC 28277-3372 | 2014-02-18 |
| 1629410683 | Jaclyn Mccord | Pediatrics | 14214 Ballantyne Lake Rd, Ste 300, Charlotte, NC 28277-3372 | 2013-07-19 |
| 1386991297 | Carolinas Physicians Network Inc | Internal Medicine | 14214 Ballantyne Lake Rd, Suite 150b, Charlotte, NC 28277-3372 | 2012-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544986 | Tonya Lynn Burris | Nurse Practitioner | 7810 Providence Rd Ste 102, Charlotte, NC 28226-2987 | 2020-09-28 |
| 1003428293 | Kashari Davis | Nurse Practitioner | 4252 Sutwick Dr, Charlotte, NC 28269-6001 | 2020-08-19 |
| 1457972796 | Lindsey O'brien | Nurse Practitioner | 3423 Hornets Nest Way, Charlotte, NC 28208-5224 | 2020-04-28 |
| 1285254904 | Barbara Ballard | Nurse Practitioner | 10731 Haddington Dr Nw, Charlotte, NC 28269-6954 | 2020-04-22 |
| 1710506787 | Lindsey Delcasino Plair | Nurse Practitioner | 1212 South Blvd, Charlotte, NC 28203-4215 | 2020-04-10 |
| 1457991275 | Advanced Physical Medicine | Nurse Practitioner | 8821 University East Dr # 120, Charlotte, NC 28213-4200 | 2020-01-09 |
| 1700447562 | Milford Darnell George Jr. | Nurse Practitioner | 8403 University Executive Park Drive, Suite 685, Charlotte, NC 28262-3330 | 2019-06-24 |
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1649738204 | Brittany Schmalfeld | Nurse Practitioner | 8943 S Tryon St Unit K, Charlotte, NC 28273-3539 | 2019-03-03 |
| 1407313703 | Natalie Ann Bullock | Nurse Practitioner | 400 E Stonewall St Ste F, Charlotte, NC 28202-3601 | 2019-02-23 |
| Find all providers in CHARLOTTE | ||||
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| 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.