Individual provider Active NPI

Karlin Haskins Talerico, CRNA, FNP-C

  • Family Nurse Practitioner
  • Wake Forest, NC
National Provider Identifier
1609138585
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019607 Issued in NC
Practice address
12335 Wake Union Church Rd Ste 203
Wake Forest, NC 27587-4527
Phone
(919) 720-0467
NPI assigned
Jun 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 224009 NC
Certified Registered Nurse Anesthetist 367500000X 91106 NC
Family Nurse Practitioner 363LF0000X 5019607 NC Primary

Addresses

Primary practice location

12335 Wake Union Church Rd Ste 203
Wake Forest, NC 27587-4527

Mailing address

7420 Ridge Falls LN
Wake Forest, NC 27587-8015
Phone (919) 720-0467

Other identifiers 3

IdentifierTypeStateIssuer
224009OtherNCNURSING LICENSURE
5019607OtherNCNORTH CAROLINA BOARD OF NUSING- FNP-C LICENSE
2143OtherNCNORTH CAROLINA BOARD OF NURSING- CRNA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121105000672 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163673856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology of North Carolina PLLCGroup PAC ID 2961316450, 315 clinicians

Practice addresses (Care Compare)

11200 Governor Manly Way
Suite 110
Raleigh, NC 27614-7360
Phone (919) 873-9533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
5019607NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Anesthesiology of North Carolina, PLLC Family CurrentSince Sep 1, 2025 Accepting new patients

Locations

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

23 Sunnybrook Rd
Ste 100
Raleigh, NC 27610
Phone (919) 322-4800

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

11200 Governor Manly Way
Ste 110
Raleigh, NC 27614
Phone (919) 570-5900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1609138585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 RIDGE FALLS LN",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878015",
            "telephone_number": "919-720-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 WAKE UNION CHURCH RD STE 203",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874527",
            "telephone_number": "919-720-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALERICO",
        "first_name": "KARLIN",
        "middle_name": "HASKINS",
        "name_prefix": "Mrs.",
        "credential": "CRNA, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-15",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "224009",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "91106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSURE",
            "identifier": "224009",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF NUSING- FNP-C LICENSE",
            "identifier": "5019607",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF NURSING- CRNA LICENSE",
            "identifier": "2143",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.