Individual provider Active NPI

Kathrene Renee Carter, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1720337264
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17982 Issued in SC
Practice address
1200 Ridgefield Blvd Ste 250
Asheville, NC 28806-2287
Phone
(828) 633-6070
Fax
(828) 633-6073
NPI assigned
Aug 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5014214 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25149 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17982 SC Primary

Addresses

Primary practice location

1200 Ridgefield Blvd Ste 250
Asheville, NC 28806-2287

Mailing address

460 Langdon St
Spartanburg, SC 29302-1614
Phone (864) 582-2711

Other practice location 1

460 Langdon St
Spartanburg, SC 29302-1614
Phone (864) 582-2711

Other practice location 2

109 W Watauga Ave
Johnson City, TN 37604-5668
Phone (423) 232-2600

Other identifiers 3

IdentifierTypeStateIssuer
CBP018MedicaidSC
4350OtherSCMEDICARE PART B GROUP #
FQC031MedicaidSC

Other names 1

  • Kathrene Carter Brendell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20121029000668 SC Practitioner - Nurse Practitioner 5496905499 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5014214NCMDPsychiatric/Mental Health Nurse Practitioner
17982SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regenesis Organization Community Health Center CurrentSince Aug 6, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 6, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 6, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 6, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 6, 2023 Accepting new patients
Regenesis Organization Community Health Center CurrentSince Aug 6, 2023 Accepting new patients

Locations

301 Crescent Ave
Spartanburg, SC 29306
Phone (864) 582-2817

750 S Church St
Spartanburg, SC 29306
Phone (864) 582-2829

460 Langdon St
Spartanburg, SC 29302
Phone (864) 582-2817

115 Thomas St
#B
Union, SC 29379

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1720337264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 LANGDON ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293021614",
            "telephone_number": "864-582-2711",
            "fax_number": "864-582-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 RIDGEFIELD BLVD STE 250",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062287",
            "telephone_number": "828-633-6070",
            "fax_number": "828-633-6073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Langdon St",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293021614",
            "country_code": "US",
            "telephone_number": "864-582-2711",
            "fax_number": "864-582-7179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W Watauga Ave",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376045668",
            "country_code": "US",
            "telephone_number": "423-232-2600",
            "fax_number": "423-467-3644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KATHRENE",
        "middle_name": "RENEE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014214",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25149",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "17982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBP018",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B GROUP #",
            "identifier": "4350",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FQC031",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRENE",
            "last_name": "BRENDELL",
            "middle_name": "CARTER",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.