Individual provider Active NPI

Daryl Carducci, PA-C

  • Physician Assistant
  • Morrisville, NC
National Provider Identifier
1487046280
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05619 Issued in NC
Practice address
101 Lattner CT
Morrisville, NC 27560-6843
Phone
(919) 336-5663
NPI assigned
Mar 3, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05619 NC Primary

Addresses

Primary practice location

101 Lattner CT
Morrisville, NC 27560-6843

Mailing address

PO Box 32003
Raleigh, NC 27622-2003
Phone (919) 297-0348

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
I20150925000664 NC Practitioner - Physician Assistant 4789903428 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2717TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Urgent Care PastSince Apr 6, 2016 Accepting new patients
Rex Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dcarducci138472@direct.unc.nchie.net

Organizations & group practices 4

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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1487046280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32003",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276222003",
            "telephone_number": "919-297-0348",
            "fax_number": "919-297-0349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LATTNER CT",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606843",
            "telephone_number": "919-336-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDUCCI",
        "first_name": "DARYL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisville, NC

Sources for this page

Verify at the official NPI Registry.