Individual provider Active NPI

Caroline Lynn Tilley, NP-C

  • Adult Health Nurse Practitioner
  • Valdese, NC
National Provider Identifier
1669773404
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5004695 Issued in NC
Practice address
720 Malcolm Blvd
Valdese, NC 28690-2872
Phone
(828) 580-7536
Fax
(828) 580-7537
NPI assigned
Nov 10, 2010
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5004695 NC Primary

Addresses

Primary practice location

720 Malcolm Blvd
Valdese, NC 28690-2872

Mailing address

720 Malcolm Blvd Ste 200
Connelly Springs, NC 28612-7920
Phone (828) 580-7536

Other names 1

  • Caroline Kaye Lynn Other name

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
I20200813001622 NC Practitioner - Nurse Practitioner 7012333644 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

720 Malcolm Blvd
Connelly Springs, NC 28612-7920
Phone (828) 580-7536

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
191652NCMDAdult Health Nurse Practitioner
5004695NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc CurrentSince Aug 1, 2020 Accepting new patients
Women's Health Group Past Accepting new patients

Locations

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

Interoperability endpoints

  • Direct secure messaging: clynn794797@direct.unc.nchie.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/0010533

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1669773404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MALCOLM BLVD STE 200",
            "city": "CONNELLY SPRINGS",
            "state": "NC",
            "postal_code": "286127920",
            "telephone_number": "828-580-7536",
            "fax_number": "828-580-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MALCOLM BLVD",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "286902872",
            "telephone_number": "828-580-7536",
            "fax_number": "828-580-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "CAROLINE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "LYNN",
            "middle_name": "KAYE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valdese, NC

Sources for this page

Verify at the official NPI Registry.