Individual provider Active NPI

Alexander Carmenaty Rodriguez, NP

  • Primary Care Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1104706811
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5022996 Issued in NC
Practice address
6429 Bannington Rd Ste B
Charlotte, NC 28226-1345
Phone
(704) 503-9338
NPI assigned
Sep 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5022996 NC Primary

Addresses

Primary practice location

6429 Bannington Rd Ste B
Charlotte, NC 28226-1345

Mailing address

6429 Bannington Rd Ste B
Charlotte, NC 28226-1345
Phone (704) 503-9338

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5022996NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amara Pain & Spine PLLC CurrentSince Sep 8, 2025 Accepting new patients

Locations

6429 Bannington Rd
Ste B
Charlotte, NC 28226
Phone (704) 503-9338

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8476/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alexander.carmenaty.1@8476.direct.athenahealth.com

Organizations & group practices 1

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": "1756857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1104706811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6429 BANNINGTON RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261345",
            "telephone_number": "704-503-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 BANNINGTON RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261345",
            "telephone_number": "704-503-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMENATY RODRIGUEZ",
        "first_name": "ALEXANDER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5022996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.