Active NPI
Kenneth Cartledge, CRNA
- Certified Registered Nurse Anesthetist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0109295
- Practice address
- 1000 Blythe Blvd
Charlotte, NC 28203-5812 - Phone
- (704) 355-8983
- Fax
- (704) 355-8994
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 0109295 | NC | Primary |
Addresses
Primary practice location
1000 Blythe Blvd
Charlotte, NC 28203-5812
Mailing address
5801 Newcombe CT
Charlotte, NC 28277-2564
Phone (704) 341-7884
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NAN662 | Medicaid | SC | |
| 8050907 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000
8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000
Hospital & facility affiliations
- Atrium Health Pineville
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0109295 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| The Charlotte-Mecklenburg Hospital Authority | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Charlotte-Mecklenburg Hospital Authority | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CHS Anesthesia Services Group Inc | Current | Accepting new patients | |
| Perioperative Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
1822 Brunswick Ave
Charlotte, NC 28207
Phone (704) 342-4323
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
433 McAlister Rd
Lincolnton, NC 28092
Phone (704) 512-7000
4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1346649415
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1023323128
Nurse Anesthetist, Certified Registered
-
- Medical Oncology Physician
- Indian Land, SC
- NPI 1669738829
NC
-
- Certified Registered Nurse Anesthetist
- Lincolnton, NC
- NPI 1194056705
Nurse Anesthetist, Certified Registered
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1124063052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 NEWCOMBE CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772564",
"telephone_number": "704-341-7884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BLYTHE BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035812",
"telephone_number": "704-355-8983",
"fax_number": "704-355-8994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTLEDGE",
"first_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "0109295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NAN662",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8050907",
"state": "NC"
}
],
"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 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.