POONAM GUPTA (NPI# 1922464601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922464601 |
| Entity Type | Individual |
| Full Name | POONAM GUPTA |
| Credential | NP |
| Practice Address |
134 Medical Park Rd Ste 111 - Adult Cardiology Mooresville NC 28117-8526 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7048019100 |
| Enumeration Date | 2016-01-11 |
| 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 | 5008287 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Blythe Blvd, Ste 300- Adult Cardiology, Charlotte, NC 282035866 | 7043730212 | |
| 101 E W T Harris Blvd, Ste 1213, Charlotte, NC 282623485 | 7048631950 | |
| 1350 S Kings Dr, Charlotte, NC 282072134 | 7044461242 | |
| 1350 S Kings Dr, Charlotte, NC 282072134 | 7044461255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013450121 | Poonam Gupta | Pharmacist | 8737 Van Nuys Blvd Unit B, Panorama City, CA 91402-2401 | 2016-11-21 |
| 1003455387 | Poonam Gupta | Nurse Practitioner | 4714 Fm 1488 Rd Ste 132, Conroe, TX 77384-4930 | 2020-01-03 |
| 1477696953 | Poonam G Gupta | Dentist | 7960 Lewis Avenue, Temperance, MI 48182 | 2007-02-15 |
| Street Address |
134 MEDICAL PARK RD STE 111 - ADULT CARDIOLOGY |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-8526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730156001 | Andrew Marcus Ball | Physical Therapist | 134 Medical Park Rd, Suite 105, Mooresville, NC 28117-8526 | 2006-03-04 |
| 1710384466 | Mooresville Ppm LLC | Internal Medicine | 134 Medical Park Rd, Suite 108, Mooresville, NC 28117-8526 | 2014-11-24 |
| 1477878981 | Carolinas Physicians Network Inc | Pediatrics | 134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 | 2010-03-29 |
| 1346491578 | Swapna Samatam | Internal Medicine | 134 Medical Park Rd, Suite 108, Mooresville, NC 28117 | 2008-10-07 |
| 1639349822 | Michael M Haahs Md Pa | Internal Medicine | 134 Medical Park Rd, Suite 100, Mooresville, NC 28117-8526 | 2008-03-04 |
| 1538337688 | Lake Norman Neurological and Spinal Surgery, P.a. | Neurological Surgery | 134 Medical Park Rd, Suite 108, Mooresville, NC 28117-8526 | 2008-02-12 |
| 1366642928 | Shomeet Patel | Internal Medicine | 134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 | 2007-07-23 |
| 1841203122 | Richard Scherczinger | Internal Medicine | 134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 | 2006-08-15 |
| 1720090384 | Stephen Iuliano | Internal Medicine | 134 Medical Park Rd, Ste 111 - Adult Cardiology, Mooresville, NC 28117-8526 | 2006-08-12 |
| 1841257516 | Michael M Haahs | Legal Medicine | 134 Medical Park Rd, Suite 100, Mooresville, NC 28117-8526 | 2006-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| 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 |
|---|---|---|---|---|
| 1144704487 | Leah Heather Alfino | Nurse Practitioner | 235 Medical Park Rd Ste 201, Mooresville, NC 28117-8546 | 2018-09-22 |
| 1477066363 | Np Services of Nc LLC | Nurse Practitioner | 142 S Cardigan Way Ste D-2, Mooresville, NC 28117-8536 | 2017-11-14 |
| 1053824078 | Andrea Colvin | Nurse Practitioner | 444 Williamson Rd Ste B, Mooresville, NC 28117-9248 | 2017-11-13 |
| 1508395740 | Angela Redmon | Nurse Practitioner | 134 Medical Park Rd Ste 108, Mooresville, NC 28117-8527 | 2017-06-10 |
| 1922318088 | Terri Lynn Sanchez | Nurse Practitioner | 133 Welton Way Ste C, Mooresville, NC 28117-9163 | 2010-10-07 |
| 1285745935 | Lillian M Conway | Nurse Practitioner | 128 Argus Ln Ste G, Mooresville, NC 28117-6973 | 2006-08-31 |
| 1164539086 | Noreen Lorraine Brophy | Nurse Practitioner | 127 Kensington St, Mooresville, NC 28117-8042 | 2006-08-24 |
| 1942237409 | Carolyn B Davis | Nurse Practitioner | 131 Welton Way, Mooresville, NC 28117 | 2006-06-28 |
| 1497713093 | Allyson Yanni | Nurse Practitioner | 131 Medical Park Rd Ste 308, Mooresville, NC 28117-8525 | 2006-05-03 |
| 1770107757 | Tonya Sullivan | Nurse Practitioner | 142 Professional Park Dr Ste 300, Mooresville, NC 28117-5602 | 2020-06-04 |
| Find all providers in MOORESVILLE | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
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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.