Individual provider Active NPI

Amber Noelle Sykes, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1306126917
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5013320 Issued in NC
Practice address
10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670
Phone
(704) 774-6569
Fax
(855) 308-2340
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 22584 TN
Adult Health Nurse Practitioner 363LA2200X 0024169430 VA
Nurse Practitioner 363L00000X 5013320 NC Primary

Addresses

Primary practice location

10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670

Mailing address

PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065

Other practice location 1

115 Commons Dr Ste D
Mooresville, NC 28117-9264
Phone (704) 572-9849

Other identifiers 4

IdentifierTypeStateIssuer
1306126917MedicaidNC
20BCAOtherNCBCBS NC
NND066BOtherNCMEDICARE
Q00167115OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170918001869 TN Practitioner - Nurse Practitioner 1153594684 Reassigns benefits to 1 organization
I20200819001366 NC Practitioner - Nurse Practitioner 1153594684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lamond Family Medicine PLLCGroup PAC ID 6103802012, 49 clinicians

Practice addresses (Care Compare)

10616 Metromont Pkwy
Suite 210
Charlotte, NC 28269-7656
Phone (828) 693-9199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22584TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Lamond Family Medicine, PLLC CurrentSince Sep 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Jun 28, 2017 Accepting new patients

Locations

10616 Metromont Pkwy
Ste 210
Charlotte, NC 28269
Phone (704) 774-6569

317 N King St
#A
Hendersonvlle, NC 28792
Phone (828) 693-3344

410 N State of Franklin Rd
Ste 135B
Johnson City, TN 37604
Phone (423) 431-2477

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1306126917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 METROMONT PKWY STE 210",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697670",
            "telephone_number": "704-774-6569",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Commons Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281179264",
            "country_code": "US",
            "telephone_number": "704-572-9849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYKES",
        "first_name": "AMBER",
        "middle_name": "NOELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "22584",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VA",
            "license": "0024169430",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306126917",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "20BCA",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NND066B",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00167115",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.