Active NPI
Carole Crump Malek, RN
- Registered Nurse
- Burlington, NC
National Provider Identifier
1932456340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 122240
- Practice address
- 1214 Vaughn Rd
Burlington, NC 27217-2863 - Phone
- (336) 532-0000
- Fax
- (336) 532-0001
- NPI assigned
- Aug 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 122240 | NC | Primary |
Addresses
Primary practice location
1214 Vaughn Rd
Burlington, NC 27217-2863
Mailing address
1214 Vaughn Rd
Burlington, NC 27217-2863
Phone (336) 532-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122240 | Other | NC | RN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122240 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344211200000",
"number": "1932456340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 VAUGHN RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172863",
"telephone_number": "336-532-0000",
"fax_number": "336-532-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 VAUGHN RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172863",
"telephone_number": "336-532-0000",
"fax_number": "336-532-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEK",
"first_name": "CAROLE",
"middle_name": "CRUMP",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2012-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "122240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "122240",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.