Active NPI
Carmen Cestaro, DNP, RN, FNP-BC
- Family Nurse Practitioner
- Goldsboro, NC
National Provider Identifier
1720648967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5011951
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 253132 | NC | MD | Registered Nurse |
| 5011951 | NC | MD | Family Nurse Practitioner |
Interoperability endpoints
- ccestaro399712@directhisp.wakemed.org
- 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.