Individual provider Active NPI

Carol Faye Peindl, MSN RN CS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Huntersville, NC
National Provider Identifier
1609992007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
091885 Issued in NC
Practice address
12617 Kencot CT
Huntersville, NC 28078-5715
Phone
(704) 947-8115
Fax
(704) 947-8115
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 091885 NC Primary

Addresses

Primary practice location

12617 Kencot CT
Huntersville, NC 28078-5715

Mailing address

12617 Kencot CT
Huntersville, NC 28078-5715
Phone (704) 947-8115

Other identifiers 1

IdentifierTypeStateIssuer
6004022MedicaidNC

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
I20040805000143 NC Practitioner - Certified Clinical Nurse Specialist (CNS) 0244201945 Practice locations: Huntersville, NC

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11330 Vanstory Dr
Huntersville, NC 28078-8143
Phone (704) 947-8115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
091885NCMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609992007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12617 KENCOT CT",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785715",
            "telephone_number": "704-947-8115",
            "fax_number": "704-947-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12617 KENCOT CT",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785715",
            "telephone_number": "704-947-8115",
            "fax_number": "704-947-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEINDL",
        "first_name": "CAROL",
        "middle_name": "FAYE",
        "name_prefix": "Ms.",
        "credential": "MSN RN CS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NC",
            "license": "091885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6004022",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.