Active NPI
Carrie Konn, FNP
- Family Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1700604584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5020755
- Practice address
- 916 W Morgan St
Raleigh, NC 27603-1512 - Phone
- (919) 782-3870
- NPI assigned
- Sep 30, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5020755 | NC | Primary |
Addresses
Primary practice location
916 W Morgan St
Raleigh, NC 27603-1512
Mailing address
8940 Willow Trace CT
Apex, NC 27539-6807
Phone (203) 521-2447
Other names 1
- Bonalife PLLC
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5020755 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Verve Chiropractic PLLC | Family | Current | Accepting new patients |
Locations
916 W Morgan St
Raleigh, NC 27603
Phone (919) 782-3870
Organizations & group practices 1
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": "1727654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1700604584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8940 WILLOW TRACE CT",
"city": "APEX",
"state": "NC",
"postal_code": "275396807",
"telephone_number": "203-521-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 W MORGAN ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276031512",
"telephone_number": "919-782-3870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONN",
"first_name": "CARRIE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-30",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5020755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BONALIFE",
"last_name": "PLLC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.