Karla Elizabeth Bracamonte Lopez

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1001 Rock Quarry Rd
Raleigh, NC 27610-3825

Phone

(919) 746-9580

NPI assigned

Nov 13, 2020

Last updated

Jan 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Community Health IncGroup PAC ID 3577471697, shared by 8 NPIs, 32 clinicians

Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Raleigh, NC
  • NPI 1245223783
  Medicare reassignment NPD
• Advance Community Health, Inc

  dba Advance Community Health - Mobile Services

  • Federally Qualified Health Center (FQHC)
  • Cary, NC
  • NPI 1952760290
  Medicare reassignment NPD
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Fuquay Varina, NC
  • NPI 1114913092
  NPD
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Louisburg, NC
  • NPI 1497918338
  NPD
• Advance Community Health, Inc

  dba Advance Community Health

  • Federally Qualified Health Center (FQHC)
  • Apex, NC
  • NPI 1598751463
  NPD

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1053913020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROCK QUARRY ROAD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276104063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-746-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACAMONTE LOPEZ",
        "first_name": "KARLA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tedric Dale Boyse, M.D.
• Tatyana Victorovna Boytim, CRNA
• Leah Bozeman, MS LCMHCA
• Ernest Russell Braasch, M.D.
• Christina Bracali
• Patricia Ann Brachman, RN
• Katherine Lee Bracken, PH.D.
• Cherise Green Brackett, MD
• Meaghan Brackin, LCMHC-A, CRC
• Brad Rappaport, Psy.D., PLLC (Inner Path Psychotherapy & Wellness)

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.