Individual provider Active NPI

Carla Sue Bennett, FNP

  • Family Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1073829461
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
256725 Issued in NC
Practice address
Unc School of Nursing Carrington Hall
Chapel Hill, NC 27599-9226
Phone
(517) 861-0982
NPI assigned
Aug 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 4704212215 MI
Family Nurse Practitioner 363LF0000X 256725 NC Primary

Addresses

Primary practice location

Unc School of Nursing Carrington Hall
Chapel Hill, NC 27599-9226

Mailing address

115 Kildaire Park Dr Ste 101
Cary, NC 27518-8144
Phone (919) 873-3180

Other practice location 1

2076 Hwy 42 W
Suite 300
Clayton, NC 27520-9226
Phone (919) 938-7113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256725NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rex Hospital Inc Past Accepting new patients
Johnston Primary Care Physician Services Inc Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients
Johnston Primary Care Physician Services, Inc. PastSince Dec 6, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cbennett6881@direct.unc.nchie.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1073829461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KILDAIRE PARK DR STE 101",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275188144",
            "telephone_number": "919-873-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC SCHOOL OF NURSING CARRINGTON HALL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275999226",
            "telephone_number": "517-861-0982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2076 Hwy 42 W",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275209226",
            "country_code": "US",
            "telephone_number": "919-938-7113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CARLA",
        "middle_name": "SUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-24",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704212215",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "256725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.