Debra Redfern, RN, CCM, QRP

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9905 Mattie CT
Charlotte, NC 28213-4719

Phone

(704) 980-9493

Fax

(704) 973-9493

NPI assigned

May 24, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1407116312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 562746",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282562746",
            "telephone_number": "704-980-9493",
            "fax_number": "704-973-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 MATTIE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134719",
            "telephone_number": "704-980-9493",
            "fax_number": "704-973-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDFERN",
        "first_name": "DEBRA",
        "credential": "RN, CCM, QRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uha Prabhakar Reddy, MD
• Vinisha Reddy, DO
• Redemption Eternal LLC
• Redemption Outreach Community Services
• Anthony TC Redfearn, LMFT/LPC/LCAS
• Kiara Sharnese Redice, LCMHCA
• Redlak Recovery Center, PLLC
• Angela Sabina Redlak-Olcese, PSY.D.
• Redliner LLC
• Claire Redmon, DPT

• Case Manager/Care Coordinator in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.