Active NPI
Carolyn D Orr, NP
- Psychiatric/Mental Health Nurse Practitioner
- Winston Salem, NC
National Provider Identifier
1639436124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6004556
- Practice address
- 1615 Polo Rd
Winston Salem, NC 27106-3831 - Phone
- (336) 722-7266
- Fax
- (336) 201-0538
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 6004556 | NC | Primary |
Addresses
Primary practice location
1615 Polo Rd
Winston Salem, NC 27106-3831
Mailing address
1615 Polo Rd
Winston Salem, NC 27106-3831
Phone (336) 722-7266
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)
- Not enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6004556 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mood Treatment Center, PLLC | Past | Accepting new patients | |
| Wellmood PLLC | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1285867952
-
- Psychiatry Physician
- Winston Salem, NC
- NPI 1154182368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334880000000",
"number": "1639436124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 POLO RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063831",
"telephone_number": "336-722-7266",
"fax_number": "336-201-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 POLO RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063831",
"telephone_number": "336-722-7266",
"fax_number": "336-201-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "CAROLYN",
"middle_name": "D",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-20",
"last_updated": "2012-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "6004556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.