Individual provider Active NPI

Carol J Lundrigan, FNP-C

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1265408710
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200696 Issued in NC
Practice address
2797 NC Highway 55
Minuteclinic Diagnostic of North Carolina, P.C.
Cary, NC 27519
Phone
(886) 389-2727
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200696 NC Primary

Addresses

Primary practice location

2797 NC Highway 55
Minuteclinic Diagnostic of North Carolina, P.C.
Cary, NC 27519

Mailing address

998 Ervin Dr
Lexington, NC 27292-6514
Phone (336) 537-4171

Other identifiers 1

IdentifierTypeStateIssuer
D8847OtherNCMEDCOST NUMBER

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200696NCMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1265408710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 ERVIN DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926514",
            "telephone_number": "336-537-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2797 NC HIGHWAY 55",
            "address_2": "MINUTECLINIC DIAGNOSTIC OF NORTH CAROLINA, P.C.",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27519",
            "telephone_number": "886-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDRIGAN",
        "first_name": "CAROL",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST NUMBER",
            "identifier": "D8847",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.