Individual provider Active NPI

Carmen Cestaro, DNP, RN, FNP-BC

  • Family Nurse Practitioner
  • Goldsboro, NC
National Provider Identifier
1720648967
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011951 Issued in NC
Practice address
2400 Wayne Memorial Dr Ste 1
Goldsboro, NC 27534-1789
Phone
(919) 739-9060
NPI assigned
Jun 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 253132 NC
Family Nurse Practitioner 363LF0000X 5011951 NC Primary

Addresses

Primary practice location

2400 Wayne Memorial Dr Ste 1
Goldsboro, NC 27534-1789

Mailing address

103 Riviera CT
Goldsboro, NC 27534-8180

Other names 1

  • Carmen McCall Former name

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)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
253132NCMDRegistered Nurse
5011951NCMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: ccestaro399712@directhisp.wakemed.org
  • FHIR API: https://api.platform.athenahealth.com/8638/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1720648967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 RIVIERA CT",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275348180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WAYNE MEMORIAL DR STE 1",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275341789",
            "telephone_number": "919-739-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESTARO",
        "first_name": "CARMEN",
        "credential": "DNP, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "253132",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "MCCALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.