Active NPI
Justin Kindrick, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Apex, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5020737
- Practice address
- 510 W Williams St
Apex, NC 27502-1846 - Phone
- (919) 870-8409
- Fax
- (877) 622-8953
- NPI assigned
- Apr 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5020737 | NC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5020737 | NC | Primary |
| Registered Nurse | 163W00000X | 143100 | TN | |
| Nurse Practitioner | 363L00000X | 16187 | TN |
Addresses
Primary practice location
510 W Williams St
Apex, NC 27502-1846
Mailing address
3801 Barrett Dr
Raleigh, NC 27609-7214
Phone (919) 870-8409
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3801 Barrett Dr
Raleigh, NC 27609-7224
Phone (919) 870-8409
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143100 | TN | MD | Registered Nurse |
| 16187 | TN | MD | Nurse Practitioner |
| 5020737 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mona R Gupta, DO Incorporated | Current | Accepting new patients | |
| NP Enterprises, Inc. | Family | Current | Accepting new patients |
| Mona R Gupta, DO Incorporated | Current | Accepting new patients | |
| Cumberland Spine & Sport, LLC | Past | Accepting new patients |
Locations
510 W Williams St
Apex, NC 27502
8838 US Highway 70 W
Ste 700
Clayton, NC 27520
Phone (919) 553-5505
5518 NC Highway 55
Durham, NC 27713
2211 W Meadowview Rd
Ste 150
Greensboro, NC 27407
116 Gasoline Aly
Ste 105
Mooresville, NC 28117
3801 Barrett Dr
Raleigh, NC 27609
Phone (703) 999-4182
8304 Creedmoor Rd
Raleigh, NC 27613
Phone (919) 870-7645
42 Dooley St
Crossville, TN 38555
Phone (931) 707-7117
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Raleigh, NC
- NPI 1205134731
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Raleigh, NC
- NPI 1225414352
-
- Family Nurse Practitioner
- Crossville, TN
- NPI 1932139946
-
- Pain Medicine Physician
- Jamestown, TN
- NPI 1245514306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788825600000",
"number": "1891915047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 BARRETT DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097214",
"telephone_number": "919-870-8409",
"fax_number": "877-622-8953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 W WILLIAMS ST",
"city": "APEX",
"state": "NC",
"postal_code": "275021846",
"telephone_number": "919-870-8409",
"fax_number": "877-622-8953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDRICK",
"first_name": "JUSTIN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-30",
"last_updated": "2026-09-08",
"certification_date": "2026-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5020737",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5020737",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "143100",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "16187",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apex, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.