Active NPI
Carrie Audrey Stroman, NP
- Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1609522283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5015921
- Practice address
- 3506 W Tyvola Rd
Charlotte, NC 28208-7201 - Phone
- (704) 329-1300
- NPI assigned
- Feb 23, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5015921 | NC | Primary |
Addresses
Primary practice location
3506 W Tyvola Rd
Charlotte, NC 28208-7201
Mailing address
3506 W Tyvola Rd
Charlotte, NC 28208-7201
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220627000971 | NC | Order and Referring Only - Nurse Practitioner | 0840679593 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647129600000",
"number": "1609522283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3506 W TYVOLA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282087201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3506 W TYVOLA RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282087201",
"telephone_number": "704-329-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROMAN",
"first_name": "CARRIE",
"middle_name": "AUDREY",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-23",
"last_updated": "2022-03-13",
"certification_date": "2022-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5015921",
"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 Mar 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.