Individual provider Active NPI

Sierra Burke Arnold, FNP-C

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1740758341
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011207 Issued in NC
Practice address
1991 Fordham Dr Ste 201
Fayetteville, NC 28304-3774
Phone
(240) 645-4015
NPI assigned
Nov 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5011207 NC Primary

Addresses

Primary practice location

1991 Fordham Dr Ste 201
Fayetteville, NC 28304-3774

Mailing address

220 Shepard Dr
Linden, NC 28356-9589
Phone (423) 303-9833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190225000100 NC Practitioner - Nurse Practitioner 4082953773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Id Care(R) - Infectious Diseases Specialty Practice PAGroup PAC ID 0345529988, 10 clinicians

Practice addresses (Care Compare)

1319 Avon St
Fayetteville, NC 28304-4423
Phone (910) 729-6552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5011207NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Id Care(R) - Infectious Diseases Specialty Practice PA CurrentSince Dec 11, 2019 Accepting new patients

Locations

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1319 Avon St
Fayetteville, NC 28304
Phone (910) 729-6552

Organizations & group practices 1

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": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1740758341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SHEPARD DR",
            "city": "LINDEN",
            "state": "NC",
            "postal_code": "283569589",
            "telephone_number": "423-303-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 FORDHAM DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043774",
            "telephone_number": "240-645-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "SIERRA",
        "middle_name": "BURKE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.