Individual provider Active NPI

Lindsey Carlson, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Kinston, NC
National Provider Identifier
1407393408
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5016152 Issued in NC
Practice address
1001 Hardee Rd
Kinston, NC 28504-3323
Phone
(252) 624-3300
Fax
(252) 689-0152
NPI assigned
Jan 27, 2017
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016152 NC
Family Nurse Practitioner 363LF0000X 22129 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5016152 NC Primary

Addresses

Primary practice location

1001 Hardee Rd
Kinston, NC 28504-3323

Mailing address

1001A Hardee Rd
Kinston, NC 28504-3323
Phone (252) 624-3300

Other practice location 1

831 S Brightleaf Blvd
Smithfield, NC 27577-4385
Phone (919) 300-4315

Other practice location 2

230 Dover Rd
Clarksville, TN 37042-4183
Phone (931) 920-5000

Other practice location 3

230 Dover Rd
Clarksville, TN 37042-4183
Phone (931) 920-5000

Other practice location 4

230 Dover Rd
Clarksville, TN 37042-4183
Phone (931) 920-5000

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
I20220629000415 NC Practitioner - Nurse Practitioner 2466711239 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22129TNMDFamily Nurse Practitioner
5016152NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Outreach, LLC CurrentSince May 9, 2022 Accepting new patients
Carolina Outreach, LLC CurrentSince May 9, 2022 Accepting new patients

Locations

2670 Durham Chapel Hill Blvd
Durham, NC 27707
Phone (919) 251-9009

Organizations & group practices 2

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": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1407393408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001A HARDEE RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043323",
            "telephone_number": "252-624-3300",
            "fax_number": "984-202-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HARDEE RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285043323",
            "telephone_number": "252-624-3300",
            "fax_number": "252-689-0152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 S Brightleaf Blvd",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774385",
            "country_code": "US",
            "telephone_number": "919-300-4315",
            "fax_number": "919-205-1512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Dover Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370424183",
            "country_code": "US",
            "telephone_number": "931-920-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Dover Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370424183",
            "country_code": "US",
            "telephone_number": "931-920-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Dover Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370424183",
            "country_code": "US",
            "telephone_number": "931-920-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "LINDSEY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016152",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22129",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5016152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.