Katrina Fontanilla Driskell, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

239173 Issued in NC

Practice address

3000 New Bern Ave
Raleigh, NC 27610-1231

Phone

(919) 350-8431

NPI assigned

Apr 29, 2019

Last updated

Apr 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1033773643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 MANTUA WAY",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043696",
            "telephone_number": "919-302-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISKELL",
        "first_name": "KATRINA",
        "middle_name": "FONTANILLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "62906",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NC",
            "license": "239173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie L Drew, P.A.-C
• Justin John Drew, P.A.-C
• Tygia Nicole Drewhowell, RBT
• Sydney Dreyer
• Abigail Driest
• Alison Driver, OTR/L
• Sonia Driver, PHARM D
• Heather Drockelman
• Dean L Drosnes, M.D.
• DRS Pearson Jefferson and Camp PA (Raleigh Oral Surgery)

• Critical Care Medicine Registered Nurse in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Critical Care Medicine Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.