Individual provider Active NPI

Carole McDuffie Venable, RNC FNP

  • Nurse Practitioner
  • Rockingham, NC
National Provider Identifier
1396737375
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
39673 Issued in NC
Practice address
125 Biltmore Dr
Suite #2
Rockingham, NC 28379-4994
Phone
(910) 895-6650
Fax
(910) 895-6682
NPI assigned
Aug 17, 2005
Last updated
Oct 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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 39673 NC Primary

Addresses

Primary practice location

125 Biltmore Dr
Suite #2
Rockingham, NC 28379-4994

Mailing address

PO Box 1446
Rockingham, NC 28380-1446
Phone (910) 895-6650

Other identifiers 1

IdentifierTypeStateIssuer
2599191COtherNCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hamlet PPM LLC Past Accepting new patients
Hamlet Hma Inc Past Accepting new patients
Sandhills Internal Medicine Clinic, PA Past Accepting new patients
Hamlet Hma PPM LLC Nurse Practitioner Past Accepting new patients
Hamlet Hma Physician Management, LLC Past Accepting new patients
Hamlet Hma Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12291/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1396737375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283801446",
            "telephone_number": "910-895-6650",
            "fax_number": "910-895-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BILTMORE DR",
            "address_2": "SUITE #2",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283794994",
            "telephone_number": "910-895-6650",
            "fax_number": "910-895-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENABLE",
        "first_name": "CAROLE",
        "middle_name": "MCDUFFIE",
        "credential": "RNC FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "39673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2599191C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.