Active NPI
Kathryn V Banks, PNP-PC
- Pediatric Nurse Practitioner
- Cary, NC
National Provider Identifier
1003963166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN8284
- Practice address
- 105 Ridge View Dr
Cary, NC 27511-2628 - Phone
- (919) 467-5543
- NPI assigned
- Jan 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5004007 | NC | |
| Pediatric Nurse Practitioner | 363LP0200X | APN8284 | TN | Primary |
Addresses
Primary practice location
105 Ridge View Dr
Cary, NC 27511-2628
Mailing address
105 Ridge View Dr
Cary, NC 27511-2628
Phone (919) 467-5543
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004007 | NC | MD | Pediatric Nurse Practitioner |
| APN8284 | TN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Pediatric Center, P.a. | Current | Accepting new patients |
Locations
105 Ridge View Dr
Cary, NC 27511
Phone (919) 467-5543
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Cary, NC
- NPI 1447214242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1003963166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 RIDGE VIEW DR",
"city": "CARY",
"state": "NC",
"postal_code": "275112628",
"telephone_number": "919-467-5543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 RIDGE VIEW DR",
"city": "CARY",
"state": "NC",
"postal_code": "275112628",
"telephone_number": "919-467-5543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "KATHRYN",
"middle_name": "V",
"credential": "PNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2023-03-07",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5004007",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "APN8284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.