Individual provider Active NPI

Alfreda Gbieh Tambue, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1205616695
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
5020338 Issued in NC
Practice address
2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027
Phone
(704) 342-1900
NPI assigned
Oct 3, 2023
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 5020338 NC Primary
Gerontology Nurse Practitioner 363LG0600X 5020338 NC

Addresses

Primary practice location

2711 Randolph Rd Ste 400
Charlotte, NC 28207-2027

Mailing address

2610 Glen Shira CT
Charlotte, NC 28208-7427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240912002639 NC Practitioner - Nurse Practitioner 4880134113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Duke University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10660 Park Rd
Suite 2100
Charlotte, NC 28210-8420
Phone (980) 442-0410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5020338NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 14, 2025 Accepting new patients
Carolina Oncology Specialist PA CurrentSince Oct 16, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 14, 2025 Accepting new patients

Locations

10635 Park Rd
Ste F
Charlotte, NC 28210
Phone (704) 342-1900

10660 Park Rd
Ste 2100
Charlotte, NC 28210
Phone (980) 442-0410

2711 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 342-1900

Interoperability endpoints

  • Direct secure messaging: atambue385307@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1205616695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 GLEN SHIRA CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282087427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 RANDOLPH RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282072027",
            "telephone_number": "704-342-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBUE",
        "first_name": "ALFREDA",
        "middle_name": "GBIEH",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5020338",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5020338",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.