MRS. AMANDA RUSSELL WRIGHT CPNP
Complete NPI Record 1588894570
Nurse Practitioner - Pediatrics in Charlotte, NC

NPI Status: Active since July 23, 2009

Contact Information

1001 BLYTHE BLVD
MEDICAL CENTER PLAZA SUITE 601
CHARLOTTE, NC
ZIP 28203
Phone: (704) 381-9900

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Complete NPI Dataset

This page represents the complete record for NPI 1588894570. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1588894570
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: AMANDA
The first name of the provider, if the provider is an individual.
Provider Middle Name: RUSSELL
The middle name of the provider, if the provider is an individual.
Provider Name Prefix Text: MRS.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Credential Text: CPNP
The city name in the location address of the provider being identified.
Provider First Line Business Mailing Address: 1001 BLYTHE BLVD
The State code in the location of the provider being identified.
Provider Second Line Business Mailing Address: MEDICAL CENTER PLAZA SUITE 601
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address City Name: CHARLOTTE
The country code in the location address of the provider being identified.
Provider Business Mailing Address State Name: NC
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 282035866
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Country Code If outside U S : US
The date that a record was last updated or changed.
Provider Business Mailing Address Telephone Number: 7043819900
The code designating the provider’s gender if the provider is a person.
Provider First Line Business Practice Location Address: 1001 BLYTHE BLVD
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Second Line Business Practice Location Address: MEDICAL CENTER PLAZA SUITE 601
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider Business Practice Location Address City Name: CHARLOTTE
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: NC
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 282035866
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7043819900
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 7/23/2009
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 1/3/2011
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 363LP0200X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 5004425
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: NC
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Healthcare Provider Primary Taxonomy Switch 1: Y
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor: Y
The last name of the provider. If the provider is an individual, this is the legal name.