Active NPI
Courtney Huckel Carr, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5003888
- Practice address
- 301 Hawthorne LN Ste 100
Charlotte, NC 28204-2467 - Phone
- (704) 384-1900
- NPI assigned
- Jan 29, 2008
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5003888 | NC | Primary |
Addresses
Primary practice location
301 Hawthorne LN Ste 100
Charlotte, NC 28204-2467
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 446-1422
Other practice location 2
1001 Blythe Blvd
Medical Center Plaza Suite 601
Charlotte, NC 28203-5866
Phone (704) 381-9900
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chuckel718721@direct.novanthealth.org |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Past | Accepting new patients |
Locations
125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380
301 Hawthorne Ln
Ste 100
Charlotte, NC 28204
Phone (704) 384-1900
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
Interoperability endpoints
- chuckel718721@direct.novanthealth.org
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Charlotte, NC
- NPI 1053365817
-
- Pediatric Hematology & Oncology Physician
- Charlotte, NC
- NPI 1528467586
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
- Interventional Cardiology Physician
- Charlotte, NC
- NPI 1205836434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1265619423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HAWTHORNE LN STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042467",
"telephone_number": "704-384-1900"
}
],
"practiceLocations": [
{
"address_1": "1350 S Kings Dr",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282072134",
"country_code": "US",
"telephone_number": "704-446-1422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 Blythe Blvd",
"address_2": "Medical Center Plaza Suite 601",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282035866",
"country_code": "US",
"telephone_number": "704-381-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "COURTNEY",
"middle_name": "HUCKEL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5003888",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chuckel718721@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1001 Blythe Blvd",
"address_2": "Medical Center Plaza Suite 601",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282035866",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.