Active NPI
Carla Sue Bennett, FNP
- Family Nurse Practitioner
- Chapel Hill, NC
National Provider Identifier
1073829461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 256725
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 256725 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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. | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Smithfield, NC
- NPI 1841455755
-
- Internal Medicine Physician
- Smithfield, NC
- NPI 1912320169
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
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.