Individual provider Active NPI

Arnette Olivia Tates, DNP, FNP-BC,PMHNP-BC

  • Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1154623965
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004744 Issued in NC
Practice address
905 Halstead Blvd Ste 16
Elizabeth City, NC 27909-6816
Phone
(855) 252-4870
Fax
(855) 434-2525
NPI assigned
Nov 30, 2010
Reactivated
Aug 14, 2026
Sex
Female
Sole proprietor
No

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 Halstead Blvd
Suite 16
Elizabeth City, NC 27909-6815

905 Halstead Blvd
Suite 16
Elizabeth City, NC 27909-6816

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110207000581 NC Practitioner - Nurse Practitioner 9234319328 Reassigns benefits to 5 organizations
I20180326002422 MD Practitioner - Nurse Practitioner 9234319328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R151192MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tates Health Care & Behavioral Health Services, PLLC Current Accepting new patients
Albemarle Regional Health Services CurrentSince Sep 16, 2021 Accepting new patients
BHG Lxxxi, LLC CurrentSince Dec 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 8, 2023 Accepting new patients
BHG Xxxvi, LLC CurrentSince Dec 1, 2025 Accepting new patients
BHG Xxxvii, LLC CurrentSince Dec 1, 2025 Accepting new patients
Albemarle Regional Health Services CurrentSince Sep 16, 2021 Accepting new patients
Albemarle Regional Health Services Past Accepting new patients
Community Health Center, LLC Past Accepting new patients
Johnston Primary Care Physician Services Inc Past Accepting new patients

Locations

312 Academy St S
Ste D
Ahoskie, NC 27910
Phone (252) 332-3548

18 Wedgefield Dr
Asheville, NC 28806
Phone (828) 252-8748

160 US Highway 158 E
Bldg B
Camden, NC 27921

414 Hospital Dr
Clyde, NC 28721
Phone (828) 452-1406

905 Halstead Blvd
Ste 16
Elizabeth City, NC 27909
Phone (252) 548-6467

711 Roanoke Ave
Elizabeth Cty, NC 27909
Phone (252) 338-4370

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

5001 Spring Valley Rd
Ste 600
Dallas, TX 75244

5001 Spring Vly
Ste 600E
Dallas, TX 75244

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5004744 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

905 Halstead Blvd Ste 16
Elizabeth City, NC 27909-6816

Mailing address

905 Halstead Blvd Ste 16
Elizabeth City, NC 27909-6816
Phone (855) 252-4870

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2026.

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1154623965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD STE 16",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096816",
            "telephone_number": "855-252-4870",
            "fax_number": "855-434-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HALSTEAD BLVD STE 16",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279096816",
            "telephone_number": "855-252-4870",
            "fax_number": "855-434-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATES",
        "first_name": "ARNETTE",
        "middle_name": "OLIVIA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "deactivation_date": "2026-07-09",
        "reactivation_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.