Individual provider Active NPI

Adrian Nicole Lennon, PSYCHIATRIC NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1013225697
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
164951 Issued in NC
Practice address
2521 Raeford Rd Ste D
Fayetteville, NC 28305-5750
Phone
(910) 672-6432
Fax
(910) 745-7907
NPI assigned
Sep 17, 2010
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 164951 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 164951 NC Primary

Addresses

Primary practice location

2521 Raeford Rd Ste D
Fayetteville, NC 28305-5750

Mailing address

2521 Raeford Rd Ste D
Fayetteville, NC 28305-5750
Phone (910) 234-0208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000910 NC Practitioner - Nurse Practitioner 7012186968 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
164951NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Outreach, LLC CurrentSince Mar 11, 2019 Accepting new patients
Carolina Outreach, LLC CurrentSince Mar 11, 2019 Accepting new patients
Daymark Recovery Services, Inc. CurrentSince Jun 1, 2019 Accepting new patients

Locations

2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1013225697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 RAEFORD RD STE D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055750",
            "telephone_number": "910-234-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 RAEFORD RD STE D",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055750",
            "telephone_number": "910-672-6432",
            "fax_number": "910-745-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNON",
        "first_name": "ADRIAN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYCHIATRIC NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "164951",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "164951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.