Active NPI
Anneliese Elena Cadena
- Primary Care Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1558052746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- CADE-9JUS6
- Practice address
- 10508 Park Rd Ste 110
Charlotte, NC 28210-8526 - Phone
- (704) 750-8801
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | CADE-9JUS6 | NC | Primary |
Addresses
Primary practice location
10508 Park Rd Ste 110
Charlotte, NC 28210-8526
Mailing address
1212 South Blvd
Charlotte, NC 28203-4215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CADE-9JUS6 | NC | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1558052746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 SOUTH BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282034215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10508 PARK RD STE 110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282108526",
"telephone_number": "704-750-8801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADENA",
"first_name": "ANNELIESE",
"middle_name": "ELENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "CADE-9JUS6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.