MOUNTAIN LAUREL FAMILY PRACTICE, PLLC - NPI 1265669535

Q: What is Mountain Laurel Family Practice, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Mountain Laurel Family Practice, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN LAUREL FAMILY PRACTICE, PLLC (NPI 1265669535) is a healthcare organization registered as a nurse practitioner in Boone, North Carolina and active in the NPI registry since June 2009. The organization holds a CLIA Microscopy certificate valid through July 30, 2027 and lists Mona M Mcclure, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265669535

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMOUNTAIN LAUREL FAMILY PRACTICE, PLLC

Location Address222 LONGVUE DRBoone, NC 28607-5060

Mailing Address222 Longvue DrBoone, NC 28607-5060 · (828) 355-9624 · Fax (828) 355-9626

Phone(828) 355-9624

Fax(828) 355-9626

Organization SubpartNo

Authorized OfficialMona M McclureOffice Manager · (828) 355-9624

Enumeration DateJune 15, 2009

Last NPPES UpdateDecember 2, 2009

✔ NPI 1265669535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 200890

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

222 LONGVUE DR, Boone, NC 28607

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D1103001

Mountain Laurel Family Practice, PLLC · Boone, NC

Active · expires Jul 30, 2027

CLIA Number34D1103001

Laboratory TypePractitioner Other

Certificate Effective DateJuly 31, 2025

Certificate Expiration DateJuly 30, 2027

Laboratory DirectorLeanne Young-Fritchie

Laboratory Phone(828) 355-9642

Laboratory LocationMountain Laurel Family Practice, PLLC222 Longvue Dr, Boone, NC 28607

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ANNE DIXON PA-C

Physician Assistant (Medical)