MRS. SUSAN A HINES FNP NPI 1609891522

NPI Information

NPI: 1609891522
Provider Name: MRS. SUSAN A HINES, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3823 HIGHVIEW RD
CHARLOTTE, NC
ZIP 28210
Phone: (704) 650-8893
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MRS. Susan A Hines, FNP is a family nurse practitioner in Charlotte, NC. MRS. Susan A Hines, FNP NPI is 1609891522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3823 HIGHVIEW RD
CHARLOTTE, NC
ZIP 28210-466
Phone: (704) 650-8893

The NPI 1609891522 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 7/13/2006 and was last updated on 12/17/2013.

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	363LF0000X	Nurse Practitioner	Family	900038	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	2804927A	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
2	8910948	MEDICAID	NORTH CAROLINA
3	08010491	OTHER	NORTH CAROLINA	MEDICARE RAILROAD
4	10948	OTHER	NORTH CAROLINA	NCBCBS
5	R40664	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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