Individual provider Active NPI

Carrie L Lechtenberger, APRN

  • Family Nurse Practitioner
  • Matthews, NC
National Provider Identifier
1235915497
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020233 Issued in NC
Practice address
1000 Healing Way
Matthews, NC 28104-4969
Phone
(980) 993-2000
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 94021 NE
Family Nurse Practitioner 363LF0000X 115021 NE
Family Nurse Practitioner 363LF0000X 5020233 NC Primary

Addresses

Primary practice location

1000 Healing Way
Matthews, NC 28104-4969

Mailing address

1051 Dunwoody Dr
Indian Land, SC 29707-0045
Phone (949) 375-3802

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
I20241112004478 NC Practitioner - Nurse Practitioner 7416301692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Healing Way
Suite 31
Matthews, NC 28104-4951
Phone (980) 442-0600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5020233NCMDFamily Nurse Practitioner
94021NEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 22, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jul 22, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Alegent Creighton Clinic Past Accepting new patients

Locations

1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535

1100 Healing Way
Ste 31
Stallings, NC 28104
Phone (980) 442-0600

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1235915497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 DUNWOODY DR",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297070045",
            "telephone_number": "949-375-3802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALING WAY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281044969",
            "telephone_number": "980-993-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECHTENBERGER",
        "first_name": "CARRIE",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "94021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.