Look up the most recent NPI and PECOS records

Lovina; Takon

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

200 Hawthorne Ln, Charlotte, NC 28204-2515

PECOS Enrollment

Based on the most recent information from CMS, provider Lovina; Takon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:59 PM.

Profile Details

Provider ID
1649879479
Provider Type
Individual
Full Name
Takon, Lovina;
Title
Mrs.
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
10/22/2020
Last Updated
11/25/2020

Contact Information

Practice Location

200 Hawthorne Ln, Charlotte, NC 28204-2515

(704) 384-4000

Unlisted Fax

Mailing Location

720 Winborne Ave, Concord, NC 28025-7073

(980) 255-0095

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5013766 North Carolina

Provider Identifiers

ID	Description	Issuer
ID NA	Description Other	Issuer NA North Carolina

Lovina; Takon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Bowers, Lesly A.

Nguyen, Cam Thi

Slocum, Amanda Bates

Meyran, Kimberly H

Steiner, Mollie Smith

Mpofu, Fikile Sithembiso

Brigman, Lester

Bjuro, Dana

Liguori, Kelly Marie

Allen, Abigail Dickey