Active NPI
Triangle Care Anesthesia PC
- Certified Registered Nurse Anesthetist
- Cary, NC
National Provider Identifier
1740602424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- TRIANGLE CARE ANESTHESIA PC
- Practice address
- 107 Maltland Dr
Cary, NC 27518-9013 - Phone
- (919) 280-6612
- NPI assigned
- Jan 14, 2014
- Last updated
- Jan 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Patrick Nicollerat
- Title
- Owner
- Phone
- (919) 280-6612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary |
Addresses
Primary practice location
107 Maltland Dr
Cary, NC 27518-9013
Mailing address
107 Maltland Dr
Cary, NC 27518-9013
Phone (919) 280-6612
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389657600000",
"number": "1740602424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 MALTLAND DR",
"city": "CARY",
"state": "NC",
"postal_code": "275189013",
"telephone_number": "919-280-6612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MALTLAND DR",
"city": "CARY",
"state": "NC",
"postal_code": "275189013",
"telephone_number": "919-280-6612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIANGLE CARE ANESTHESIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A",
"authorized_official_last_name": "NICOLLERAT",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "919-280-6612"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
- Leah Traub, LCMHC
- Kiersten Traylor
- Tominika Treasure, PHARM D
- Triangle Allergy & Asthma P a
- Triangle Cardiology, PLLC
- Triangle Children's Gastroenterology Center,PLLC
- Triangle Community Chiropractic Center
- Triangle Compounding Pharmacy Inc
- Triangle Family Care, P.a.
- Triangle Family Chiropractic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.