Carnella Tilghman, CNA 2, BLS PROVIDER,

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

94769 Issued in NC

Practice address

2269 Trinity Club Dr
Kinston, NC 28504-7524

Phone

(252) 560-1959

NPI assigned

Dec 27, 2020

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

Other names 1

• Ms. Connie Tilghman Other name

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1457948317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 TRINITY CLUB DR",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047524",
            "telephone_number": "252-560-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 TRINITY CLUB DR",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285047524",
            "telephone_number": "252-560-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILGHMAN",
        "first_name": "CARNELLA",
        "name_prefix": "Ms.",
        "credential": "CNA 2, BLS PROVIDER,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-27",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "94769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "/Tilghman/[ICare]",
            "affiliation": "N",
            "endpointDescription": "Tablet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2269 Trinity Club Dr",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285047524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "/Tilghman/[ICare]",
            "affiliation": "N",
            "endpointDescription": "Tablet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2269 Trinity Club Dr",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285047524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "/Tilghman/[ICare]",
            "affiliation": "N",
            "endpointDescription": "Tablet",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2269 Trinity Club Dr",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285047524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "TILGHMAN",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Nurse's Aide in Kinston, NC
• Providers in Kinston, NC by specialty
• Nurse's Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; 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.