MRS. SUNNY BAKALLI SEVERANCE NP-C NPI 1073878252

NPI Information

NPI: 1073878252
Provider Name: MRS. SUNNY BAKALLI SEVERANCE, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2240 REMOUNT RD
GASTONIA, NC
ZIP 28054
Phone: (704) 861-8405
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MRS. Sunny Bakalli Severance, NP-C is a family nurse practitioner in Gastonia, NC with 13 years of experience. MRS. Sunny Bakalli Severance, NP-C NPI is 1073878252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2011

The provider's business location address is:

2240 REMOUNT RD
GASTONIA, NC
ZIP 28054-725
Phone: (704) 861-8405

The NPI 1073878252 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2012 and was last updated on 5/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		5005686	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	5005686	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7006512	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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