Individual provider Active NPI

Nikki Lynne Kardouni, OT

  • Occupational Therapist
  • Fayetteville, NC
National Provider Identifier
1194294678
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11902 Issued in NC
Practice address
231 Treetop Dr
Fayetteville, NC 28311-0606
Phone
(910) 488-4821
NPI assigned
Nov 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11902 NC Primary

Addresses

Primary practice location

231 Treetop Dr
Fayetteville, NC 28311-0606

Mailing address

3529 Turnberry Cir
Fayetteville, NC 28303-4665
Phone (910) 489-8443

Other practice location 1

4140 Ferncreek Dr Ste 802
Fayetteville, NC 28314-2572
Phone (910) 484-2171

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

State licenses

LicenseStateTypeSpecialty
11902NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Orthopaedic Clinic, P.a. Occupational Therapist CurrentSince Jan 6, 2020 Accepting new patients
Cape Fear Orthopaedic Clinic, PA Occupational Therapist CurrentSince Jan 6, 2020 Accepting new patients

Locations

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

4140 Ferncreek Dr
Ste 802
Fayetteville, NC 28314
Phone (910) 484-2171

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nikki.kardouni.p1@direct.capefearortho.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": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1194294678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 TURNBERRY CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034665",
            "telephone_number": "910-489-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 TREETOP DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110606",
            "telephone_number": "910-488-4821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 Ferncreek Dr Ste 802",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142572",
            "country_code": "US",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARDOUNI",
        "first_name": "NIKKI",
        "middle_name": "LYNNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.