Kutreni Lachelle Carter, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012147 Issued in NC

Practice address

40 Autumn Fern TRL
Lillington, NC 27546-5155

Phone

(910) 364-0970

Fax

(910) 814-4064

NPI assigned

Mar 20, 2019

Last updated

Feb 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cumberland County Hospital System Inc

  dba Oncology Services

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment NPD
• First Choice Community Health Centers

  • General Practice Physician
  • Lillington, NC
  • NPI 1083971279
  Medicare reassignment NPD
• Cumberland County Hospital System Inc

  dba Valley Medical Associates

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1588668396
  NPD
• Cumberland County Hospital System Inc

  dba Cape Fear Valley Professional Radiology Group

  • Diagnostic Radiology Physician
  • Fayetteville, NC
  • NPI 1962299743
  NPD
• First Choice Community Health Centers

  dba Benhaven Medical Center

  • Family Medicine Physician
  • Cameron, NC
  • NPI 1740203611
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1386104180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AUTUMN FERN TRL",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465155",
            "telephone_number": "910-364-0970",
            "fax_number": "910-814-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AUTUMN FERN TRL",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465155",
            "telephone_number": "910-364-0970",
            "fax_number": "910-814-4064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283017603",
            "country_code": "US",
            "telephone_number": "910-400-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KUTRENI",
        "middle_name": "LACHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F11180526",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cape Fear Valley Health Medical Group LLC (Cape Fear Valley Orthopedics and Sports Medicine)
• Tony Carlton, MS
• Carolina Eye Specialists PC
• Ryan Carpenetti, MD
• Connor Carter, DO
• Martika Carter, RBT
• Kyle Caruolo, DPT
• Catherine B Evans Family Dentistry
• Sandra Deanne Chadwick, PHARM.D., B.S., B.S.
• Telica Chang Fong, FNP-C

• Family Nurse Practitioner in Lillington, NC
• Providers in Lillington, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.

Verify at the official NPI Registry.