Individual provider Active NPI

Amber Sherice Sipe, FNP

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1487088696
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5006410 Issued in NC
Practice address
815 Cox Rd
Gastonia, NC 28054-3453
Phone
(704) 865-1700
Fax
(704) 865-7948
NPI assigned
Aug 23, 2013
Last updated
Oct 22, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5006410 NC Primary

Addresses

Primary practice location

815 Cox Rd
Gastonia, NC 28054-3453

Mailing address

815 Cox Rd
Gastonia, NC 28054-3453
Phone (704) 865-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131209001770 NC Practitioner - Nurse Practitioner 0749417210 Reassigns benefits to 2 organizations
I20221031003127 SC Practitioner - Nurse Practitioner 0749417210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, shared by 2 NPIs, 425 clinicians

Practice addresses (Care Compare)

1200 Village Harbor Dr
Suite D
Lake Wylie, SC 29710-9092
Phone (704) 671-6400

660 Summit Crossing PL
Suite 301
Gastonia, NC 28054-2181
Phone (704) 854-8799

815 Cox Rd
Gastonia, NC 28054-3453
Phone (704) 865-1700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Claude Luvis MD, PA CurrentSince Sep 16, 2013 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Caromont Medical Group Inc CurrentSince Nov 16, 2015 Accepting new patients
Caromont Medical Group Inc CurrentSince Nov 16, 2015 Accepting new patients

Locations

2682 Court Dr
Ste B
Gastonia, NC 28054
Phone (704) 824-0500

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

815 Cox Rd
Gastonia, NC 28054
Phone (704) 865-1700

1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15570/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1487088696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-865-1700",
            "fax_number": "704-865-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543453",
            "telephone_number": "704-865-1700",
            "fax_number": "704-865-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPE",
        "first_name": "AMBER",
        "middle_name": "SHERICE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.