Individual provider Active NPI

Kim Renae English, MSN, FNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1659476240
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2020114621 Issued in NC
Practice address
3719 Latrobe Dr Ste 850B
Charlotte, NC 28211-4827
Phone
(980) 445-8063
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 198881 NC
Family Nurse Practitioner 363LF0000X 5004910 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2020114621 NC Primary

Addresses

Primary practice location

3719 Latrobe Dr Ste 850B
Charlotte, NC 28211-4827

Mailing address

3719 Latrobe Dr Ste 850B
Charlotte, NC 28211-4827
Phone (980) 445-8063

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
I20110120000156 NC Practitioner - Nurse Practitioner 7113106311 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3719 Latrobe Dr
Suite 850B
Charlotte, NC 28211-4827
Phone (980) 445-8063

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
198881NCMDCommunity Health Registered Nurse
2020114621NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Oct 16, 2021 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Jan 14, 2013 Accepting new patients
Caromont Medical Group Inc CurrentSince Oct 16, 2021 Accepting new patients
Second Chance Behavioral Health CurrentSince Aug 17, 2023 Accepting new patients
Safe Haven Psychiatrics PLLC Psychiatric/Mental Health CurrentSince May 22, 2024 Accepting new patients
Caromont Medical Group Inc Current Accepting new patients
Rhodium Care Group PLLC CurrentSince Sep 28, 2024 Accepting new patients
Trinity Medical Center P.C. Past Accepting new patients

Locations

1212 Spruce St
Ste 315
Belmont, NC 28012
Phone (704) 461-8253

3719 Latrobe Dr
Ste 850B
Charlotte, NC 28211
Phone (980) 445-8063

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1300 Don Juan Rd
Hertford, NC 27944
Phone (252) 426-4066

2717 Neuse Blvd
New Bern, NC 28562
Phone (252) 514-9888

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1659476240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR STE 850B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114827",
            "telephone_number": "980-445-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3719 LATROBE DR STE 850B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114827",
            "telephone_number": "980-445-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLISH",
        "first_name": "KIM",
        "middle_name": "RENAE",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NC",
            "license": "198881",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004910",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "2020114621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.