Individual provider Active NPI

Justin Kindrick, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Apex, NC
National Provider Identifier
1891915047
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5020737 Issued in NC
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

Updated by the provider on Sep 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250818004028 NC Practitioner - Nurse Practitioner 9739331414 Reassigns benefits to 1 organization

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
Mona R Gupta DO IncorporatedGroup PAC ID 8628386174, 24 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
143100TNMDRegistered Nurse
16187TNMDNurse Practitioner
5020737NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mona R Gupta, DO Incorporated CurrentSince Dec 14, 2025 Accepting new patients
NP Enterprises, Inc. Family Current Accepting new patients
Mona R Gupta, DO Incorporated CurrentSince Jun 18, 2025 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.

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

Verify at the official NPI Registry.