1831550177 NPI number — MS. LORETTA G. CATTON FNP

Table of content: MS. LORETTA G. CATTON FNP (NPI 1831550177)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831550177 NPI number — MS. LORETTA G. CATTON FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CATTON
Provider First Name:
LORETTA
Provider Middle Name:
G.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JOEN
Provider Other First Name:
LORETTA
Provider Other Middle Name:
G.
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
FNP-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1831550177
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/17/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 601076
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHARLOTTE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28260-1076
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-287-9504
Provider Business Mailing Address Fax Number:
828-286-1079

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
181 DANIEL RD
Provider Second Line Business Practice Location Address:
RUTHERFORD INTERNAL MEDICINE ASSOCIATES SUITE A
Provider Business Practice Location Address City Name:
FOREST CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28043-7151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-287-9504
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/15/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  5008437 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 5008437 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 100988 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1831550177 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: NP3807 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".