David K Cleveringa, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5023366 Issued in NC

Practice address

430 Magnolia Square CT
Aberdeen, NC 28315-2228

Phone

(910) 637-0051

NPI assigned

Oct 27, 2025

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 26, 2026.

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777161600000",
    "number": "1033087671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MAGNOLIA SQUARE CT",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152228",
            "telephone_number": "910-637-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MAGNOLIA SQUARE CT",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152228",
            "telephone_number": "910-637-0051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 DuPont Ln",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "NC",
            "postal_code": "283271500",
            "country_code": "US",
            "telephone_number": "910-336-9099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEVERINGA",
        "first_name": "DAVID",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-27",
        "last_updated": "2026-04-26",
        "certification_date": "2026-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5023366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.