Active NPI
Sydell L Singletary
- Contractor
- Fayetteville, NC
National Provider Identifier
1265204275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 109841
- Practice address
- 2504 Raeford Rd Ste A2
Fayetteville, NC 28305-5294 - Phone
- (910) 849-5418
- NPI assigned
- Oct 23, 2023
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 109841 | NC | Primary |
Addresses
Primary practice location
2504 Raeford Rd Ste A2
Fayetteville, NC 28305-5294
Mailing address
2504 Raeford Rd Ste A2
Fayetteville, NC 28305-5294
Phone (910) 849-5418
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109841 | NC | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1265204275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 RAEFORD RD STE A2",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055294",
"telephone_number": "910-849-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2504 RAEFORD RD STE A2",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055294",
"telephone_number": "910-849-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SINGLETARY",
"first_name": "SYDELL",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NC",
"license": "109841",
"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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.