Amelia Louise Pearl Macdonald, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

MACD-4E4T1 Issued in NC

Practice address

3421 Amour Dr
Fayetteville, NC 28306-8662

Phone

(360) 915-2765

NPI assigned

Feb 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Amelialouise Pearl Breezee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1790483584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 AMOUR DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283068662",
            "telephone_number": "360-915-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 AMOUR DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283068662",
            "telephone_number": "360-915-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDONALD",
        "first_name": "AMELIA LOUISE",
        "middle_name": "PEARL",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "HI",
            "license": "101961",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "340677",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "MACD-4E4T1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMELIALOUISE",
            "last_name": "BREEZEE",
            "middle_name": "PEARL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lea Ren Villanueva Macalma, PT, DPT
• Brenda J Macarages, NP
• Kaylee Macaras
• Macbill Inc.
• Macbill,Inc.
• Jessica Macdonald, LMBT
• Kristin Marie Macdonald, RD, LDN
• Ana Luiza Macdowell, MD
• Benjamin Frederick Machell-Dennis
• Eugene Mack

• Family Nurse Practitioner in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.