Individual provider Active NPI

Kathryn Thomason Sabatelli, FNP-C

  • Family Nurse Practitioner
  • Smithfield, NC
National Provider Identifier
1083591630
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5022789 Issued in NC
Practice address
101 Kellie Dr
Smithfield, NC 27577-9443
Phone
(919) 938-3717
Fax
(919) 938-3795
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5022789 NC Primary

Addresses

Primary practice location

101 Kellie Dr
Smithfield, NC 27577-9443

Mailing address

1630 Sunrise Ave
Raleigh, NC 27608-2548
Phone (919) 358-0707

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5022789NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Care Pediatrics PA Pediatrics PastSince Aug 25, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1083591630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 SUNRISE AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082548",
            "telephone_number": "919-358-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KELLIE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779443",
            "telephone_number": "919-938-3717",
            "fax_number": "919-938-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABATELLI",
        "first_name": "KATHRYN",
        "middle_name": "THOMASON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5022789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.