BEYOND ROOTS PLLC NPI 1558282228

NPI Information

  • NPI: 1558282228
  • Provider Name: BEYOND ROOTS, PLLC
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Organization
  • Address: 1235 EAST BLVD STE E
    CHARLOTTE, NC
    ZIP 28203
  • Phone: (980) 531-6136

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NPI Details

BEYOND ROOTS, PLLC is a pediatrics nurse practitioner in Charlotte, NC. BEYOND ROOTS, PLLC NPI is 1558282228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1235 EAST BLVD STE E
CHARLOTTE, NC
ZIP 28203-876
Phone: (980) 531-6136

The provider's authorized official is Vanessa Perry .
The authorized official title is Pediatric Nurse Practitioner and has the following contact phone number (585) 355-9192.

The enumeration date for this NPI number is 7/21/2026 and was last updated on 7/23/2026.

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
1363LP0200XNurse PractitionerPediatricsYes

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: 11/21/2025

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