Active NPI
Kathrene Renee Carter, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Asheville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 17982
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBP018 | Medicaid | SC | |
| 4350 | Other | SC | MEDICARE PART B GROUP # |
| FQC031 | Medicaid | SC |
Other names 1
- Kathrene Carter Brendell
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5014214 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
| 17982 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | Accepting new patients | |
| Regenesis Organization Community Health Center | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1194710426
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457745952
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1548528714
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1558946376
-
- Federally Qualified Health Center (FQHC)
- Union, SC
- NPI 1982248852
-
- Federally Qualified Health Center (FQHC)
- Spartanburg, SC
- NPI 1457061087
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.