Individual provider Active NPI

Carlie Arthur Testerman, APRN / C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Moore, SC
National Provider Identifier
1639227309
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
039045 Issued in IL
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
83492NCMDRegistered Nurse
3947SCMDSpeech-Language Pathologist
039045ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.