MISTY MOORE REAGAN


Address: 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216
Phone: 8008497379

MISTY MOORE REAGAN (NPI# 1932686128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932686128
Entity Type Individual
Full Name MISTY MOORE REAGAN
Credential NP-C
Practice Address 10130 Perimeter Pkwy Ste 200
Charlotte
NC 28216
Mailing Address 10130 Perimeter Pkwy Ste 200
Charlotte
NC 28216-0197
Practice Telephone 8008497379
Practice Fax Number 8558577333
Mailing Telephone 8888497379
Mailing Fax Number 8558577333
Enumeration Date 2018-07-20
Last Update Date 2018-12-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
0024176970 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
5010842 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 10130 PERIMETER PKWY STE 200
City CHARLOTTE
State NC
Zip Code 28216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194718619 John Michael Shimko Podiatrist 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 2005-08-30
1093205049 Khamphou Manivanh Mosley Nurse Practitioner 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 2018-05-15
1316453194 Kenya Lakisha Cruz Nurse Practitioner 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 2017-12-15
1164947305 Toshia Chipman Nurse Practitioner 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 2017-08-09
1447774823 Lakiesha Johnson Squirewell Nurse Practitioner 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 2017-07-27
1205367588 Eva Krug Social Worker 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 2017-03-27
1639626047 Tiaira Robinson Social Worker 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 2016-09-01
1396115424 Michelle Dunlap Deaton Nurse Practitioner 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 2015-10-01
1629447503 Cheria Morgan Social Worker 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 2015-09-21
1750761607 Terri L Clark Social Worker 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216-0197 2015-06-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942837331 Transit Consortium of South Carolina, LLC Non-emergency Medical Transport (VAN) 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 2020-03-25
1811538796 Strengthening Families Within Communities LLC Community/Behavioral Health 4135 Bryan Furr Drive, Charlotte, NC 28216 2019-10-02
1841705159 Karen Sue Rhea Registered Nurse 4004 Nicole Eileen Lane, Charlotte, ND 28216 2017-12-08
1992225890 Be Free Counseling, Pllc Social Worker 7800 Bridle Court, Charlotte, NC 28216 2017-06-21
1013466416 Roha Solutions, Inc Community Based Residential Treatment Facility, Mental Illness 1529 Jennings St, Charlotte, NC 28216 2016-09-26
1336595826 North Carolina Neurodiagnostics, LLC Clinic/Center 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 2016-05-13
1346600699 Elizabeth Ayodele Agiri Registered Nurse 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 2016-02-29
1922479179 Prashant Patel Pharmacist 9820 Callibridge Court, Charlotte, NC 28216 2015-10-14
1205226685 Sarah Baker Social Worker 10506 Grobie Way Apt 104, Charlotte, NC 28216 2015-01-23
1578967089 The Moon Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4548 Hyperion Court, Charlotte, NC 28216 2014-10-13
Find all providers in zip 28216

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1326204280 Nicole M Bentivegna Nurse Practitioner 3125 Springbank Ln Ste A, Charlotte, NC 28226-3379 2008-07-31
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
1881110559 Michelle Leigh Wood Nurse Practitioner 3125 Springbank Ln Ste E, Charlotte, NC 28226 2017-08-15
Find all providers in CHARLOTTE

Competitor

Search similar providers

City CHARLOTTE
Zip Code 28216

Improve Information

Please comment or provide details below to improve the information on MISTY MOORE REAGAN.

Dataset Information

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.

Trending Searches