Individual provider Active NPI

Melody Cardwell Secrest, CRNA

  • Certified Registered Nurse Anesthetist
  • Hickory, NC
National Provider Identifier
1336185206
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1140 Issued in NC
Practice address
242A 9TH Avenue Dr NE
Hickory, NC 28601-3828
Phone
(828) 327-6673
NPI assigned
Jun 21, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1140 NC Primary
Certified Registered Nurse Anesthetist 367500000X 049095 NC

Addresses

Primary practice location

242A 9TH Avenue Dr NE
Hickory, NC 28601-3828

Mailing address

PO Box 2429
Murrells Inlet, SC 29576-2429
Phone (843) 651-2624

Other practice location 1

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-6629

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msecrest116656@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000843 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113954470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2138 Veterans Pkwy
Clayton, NC 27520-5300
Phone (919) 585-5500

509 N Brightleaf Blvd
Smithfield, NC 27577-4407
Phone (919) 938-6629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
049095NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Johnston Health Services Corporation Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2014 Accepting new patients
Johnston Health Services Corporation CurrentSince Feb 1, 2014 Accepting new patients
Carolina Anesthesia Associates PA Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2015 Accepting new patients
Carolina Regional Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 31, 2015 Accepting new patients

Locations

2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544

1141 N Road St
#1
Elizabeth City, NC 27909
Phone (252) 338-0101

3312 Battleground Ave
Greensboro, NC 27410
Phone (336) 282-5000

242A 9th Avenue Dr NE
Hickory, NC 28601
Phone (828) 327-6673

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

509 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 934-8171

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

5115 Oleander Dr
Wilmington, NC 28403
Phone (910) 362-1011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1336185206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2429",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295762429",
            "telephone_number": "843-651-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242A 9TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013828",
            "telephone_number": "828-327-6673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 N Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774407",
            "country_code": "US",
            "telephone_number": "919-938-6629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SECREST",
        "first_name": "MELODY",
        "middle_name": "CARDWELL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "1140",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "049095",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msecrest116656@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "509 N Brightleaf Blvd",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.