Active NPI
Carlie Arthur Testerman, APRN / C.R.N.A.
- Certified Registered Nurse Anesthetist
- Moore, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 039045
- Practice address
- 130 Emily Drive
Moore, SC 29369 - Phone
- (864) 249-3156
- Fax
- (864) 249-3156
- NPI assigned
- Jan 8, 2007
- Last updated
- May 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 039045 | IL | Primary |
| Registered Nurse | 163W00000X | 83492 | NC | |
| Registered Nurse | 163W00000X | 3947 | SC |
Addresses
Primary practice location
130 Emily Drive
Moore, SC 29369
Mailing address
130 Emily Dr
Moore, SC 29369-8478
Phone (864) 249-3156
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83492 | NC | MD | Registered Nurse |
| 3947 | SC | MD | Speech-Language Pathologist |
| 039045 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Unc Rockingham Health Care, Inc. | Past | Accepting new patients | |
| Coastal Healthcare Resources Inc | Registered Nurse | Past | Accepting new patients |
| York County Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Network Services, LLC | Past | Accepting new patients | |
| Morehead Memorial Hospital | Past | Accepting new patients |
Locations
2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
Organizations & group practices 6
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.
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
-
- Anesthesiology Physician
- Florence, SC
- NPI 1467635128
Registered Nurse
-
- Anesthesiology Physician
- Rock Hill, SC
- NPI 1487974606
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Ocala, FL
- NPI 1508199142
-
dba Morehead Emergency Department Physicians
- Emergency Care Clinic/Center
- Eden, NC
- NPI 1689889081
-
dba UNC Rockingham Hospital
- General Acute Care Hospital
- Eden, NC
- NPI 1326048810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368748800000",
"number": "1639227309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 EMILY DR",
"city": "MOORE",
"state": "SC",
"postal_code": "293698478",
"telephone_number": "864-249-3156",
"fax_number": "864-249-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 EMILY DRIVE",
"city": "MOORE",
"state": "SC",
"postal_code": "29369",
"telephone_number": "864-249-3156",
"fax_number": "864-249-3156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESTERMAN",
"first_name": "CARLIE",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "APRN / C.R.N.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2013-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "039045",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "83492",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "3947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moore, SC
- Steven P Brown Lisw P.a. (Behavioral Counseling of SC)
- Taylor Charles Stevens, ATC
- Derek Edward Stewart, LMSW
- Jessica Marie Still, FNP-C
- Eric J Strauss, PHARMD
- Ann Trapp
- Unique Styles and More LLC (A Loving Heart In-Home Care)
- Justin Scott Uppole, M.S., ATC
- June Annette Vassey, FNP
- Victoria B Waites
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.