Individual provider Active NPI

Mary Catherine Thurman, FNP-C

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1093466187
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015603 Issued in NC
Practice address
15825 Ballantyne Medical PL Ste 240
Charlotte, NC 28277-4790
Phone
(704) 544-5245
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5015603 NC Primary

Addresses

Primary practice location

15825 Ballantyne Medical PL Ste 240
Charlotte, NC 28277-4790

Mailing address

4725 Old Course Dr
Charlotte, NC 28277-1303
Phone (828) 443-2101

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL Charlotte
CONNECT URL Charlotte
CONNECT URL Charlotte

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
I20250815004020 NC Practitioner - Nurse Practitioner 0941709083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7474 Greenway Ctr Dr
Suite 1000
Greenbelt, MD 20770

7474 Greenway Ctr Dr
Suite 1000
Greenbelt, MD 20770-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5015603NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration NC PLLC CurrentSince Jun 2, 2025 Accepting new patients
Center for Vein Restoration NC PLLC CurrentSince Jun 2, 2025 Accepting new patients

Locations

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

15825 Ballantyne Medical Pl
Ste 240
Charlotte, NC 28277
Phone 3019822000190

1130 New Garden Rd
Greensboro, NC 27410
Phone (336) 218-1102

Interoperability endpoints

  • Direct secure messaging: catherine.thurmannp.p4@direct.cvm-usa.nextgenshare.com
  • Direct secure messaging: mary.thurmannp.p3@direct.cvr.nextgenshare.com

Organizations & group practices 2

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1093466187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 OLD COURSE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771303",
            "telephone_number": "828-443-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15825 BALLANTYNE MEDICAL PL STE 240",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774790",
            "telephone_number": "704-544-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "address_1": "7940 Williams Pond Ln Ste 150",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282778409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "address_1": "8430 Rea Rd Ste A",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282774231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Charlotte",
            "affiliation": "N",
            "address_1": "15825 Ballantyne Medical Pl Ste 240",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282774790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.