Katarzyna Anna Qutermous, MSN, CNL, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5010306 Issued in NC

Practice address

515 Lake Concord Rd NE
Concord, NC 28025-2925

Phone

(704) 784-4494

NPI assigned

Feb 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519171200000",
    "number": "1023519451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11016 HERITAGE GREEN DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280317408",
            "telephone_number": "704-408-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 LAKE CONCORD RD NE",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252925",
            "telephone_number": "704-784-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUTERMOUS",
        "first_name": "KATARZYNA",
        "middle_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "MSN, CNL, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "193053",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmyn Quick
• Gary R. Quigg, M.D.
• Patrick Charles Quinn, PHD
• Robert Patel Quinn, M.D.
• Rebecca Qureshi, NP
• R. Bailey, Jr, DMD, PA
• R.O.C.K. Formations Unlimited Inc.
• Julie Rabin
• Kelly Rachmiel, DPT
• Brenda Rackoff

• Family Nurse Practitioner in Concord, NC
• Providers in Concord, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.