Healthcare Provider Details

I. General information

NPI: 1932501764
Provider Name (Legal Business Name): KIMBERLY HEDGEPETH CARTER CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2014
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 ARENDELL ST
MOREHEAD CITY NC
28557-2901
US

IV. Provider business mailing address

2000 NEUSE BLVD
NEW BERN NC
28560-3449
US

V. Phone/Fax

Practice location:
  • Phone: 252-499-6000
  • Fax:
Mailing address:
  • Phone: 252-633-8640
  • Fax: 252-636-5376

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number98225
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number332113
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number946784
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number5073
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: