Individual provider Active NPI

Andrea Unzelmann Putnam, NP

  • Nurse Practitioner
  • Huntersville, NC
National Provider Identifier
1376011403
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011218 Issued in NC
Practice address
9800 Kincey Ave Ste 150
Huntersville, NC 28078-8405
Phone
(704) 766-1630
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011218 NC Primary

Addresses

Primary practice location

9800 Kincey Ave Ste 150
Huntersville, NC 28078-8405

Mailing address

1300 Baxter St Ste 215
Charlotte, NC 28204-3801
Phone (704) 332-0396

Other names 1

  • Andrea Louise Unzelmann Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andreaputnam@mnapa.allscripsdirect.net Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190107002266 NC Practitioner - Nurse Practitioner 1355687708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians

Practice addresses (Care Compare)

4692 Brownsboro Rd
Winston Salem, NC 27106-3410
Phone (336) 251-1114

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Salisbury, NC, CCN 347325
  • Bayada Home Health Care, Inc Home health agency, Charlotte, NC, CCN 347087
  • Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
  • Bayada Home Health Care Inc Home health agency, Concord, NC, CCN 347021
  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039
  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5011218NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of North Carolina PLLC CurrentSince Feb 11, 2025 Accepting new patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients
Physicians Eldercare PA CurrentSince Feb 11, 2025 Accepting new patients
Lifesource of North Carolina Nurse Practitioner CurrentSince Nov 1, 2021 Accepting new patients

Locations

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1376011403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BAXTER ST STE 215",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043801",
            "telephone_number": "704-332-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 KINCEY AVE STE 150",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280788405",
            "telephone_number": "704-766-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM",
        "first_name": "ANDREA",
        "middle_name": "UNZELMANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andreaputnam@mnapa.allscripsdirect.net",
            "affiliation": "N",
            "endpointDescription": "Allscripts Direct Messaging address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CED",
            "address_1": "9800 Kincey Ave Ste 150",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280788405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "UNZELMANN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.