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