Catherine Janell Tewolde, CNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5003379 Issued in NC

Practice address

332 Sam Newell Rd
Matthews, NC 28105-6566

Phone

(704) 302-8583

Fax

(704) 302-8548

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, OH2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: catherine.tewolde@297228672368644.direct.elationemr.com

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  OH

  Medicare reassignment NPD
• Geridoc LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Charlotte, NC
  • NPI 1790812840
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1194854778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 TONAWANDA DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771802",
            "telephone_number": "704-668-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 SAM NEWELL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056566",
            "telephone_number": "704-302-8583",
            "fax_number": "704-302-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWOLDE",
        "first_name": "CATHERINE",
        "middle_name": "JANELL",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5003379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004477",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1296",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Telepartners for Integrated Health
• Telomere Anesthesiology Associates
• Clayton Brett Templeton, MD
• Jessica M Terrell
• Angelo A. Terrigno, D.C.
• Stacy Hua Thao, OTR/L
• Molly Thaxton, PHARMD
• The Balanced Body Center
• The Bloom Therapy, PLLC
• The Charlotte-Mecklenburg Hospital Authority (Levine Cancer Institute)

• Adult Health Nurse Practitioner in Matthews, NC
• Providers in Matthews, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.