Active NPI
Nikki Lynne Kardouni, OT
- Occupational Therapist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11902
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11902 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Fear Orthopaedic Clinic, P.a. | Occupational Therapist | Current | Accepting new patients |
| Cape Fear Orthopaedic Clinic, PA | Occupational Therapist | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- 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.
-
- Orthopaedic Surgery Physician
- Raeford, NC
- NPI 1891190088
Occupational Therapist
-
- Orthopaedic Surgery Physician
- Fayetteville, NC
- NPI 1245204494
Occupational Therapist
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.