Individual provider Active NPI

Katherine McDaniel Kulenic, FNP-BC

  • Family Nurse Practitioner
  • Durham, NC
National Provider Identifier
1083918841
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5004865 Issued in NC
Practice address
3612 Shannon Rd
Suite # 105
Durham, NC 27707-6329
Phone
(919) 419-0242
Fax
(919) 401-4172
NPI assigned
Jan 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 5004865 NC Primary

Addresses

Primary practice location

3612 Shannon Rd
Suite # 105
Durham, NC 27707-6329

Mailing address

3612 Shannon Rd Ste 105
Durham, NC 27707-6333
Phone (919) 419-0242

Other practice location 1

610 Jones Ferry Rd Ste 102
Carrboro, NC 27510-6113
Phone (919) 929-1747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502002447 NC Practitioner - Nurse Practitioner 0042519779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Durham Family Medicine, PLLCGroup PAC ID 5294792248, 2 clinicians
Generations Family Practice PAGroup PAC ID 7517977200, 33 clinicians

Practice addresses (Care Compare)

245 E NC Hwy 54
Suite 205
Durham, NC 27713-2552
Phone (919) 419-0242

610 Jones Ferry Rd
Suite 102
Carrboro, NC 27510-6113
Phone (919) 929-1747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004865NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Practice, PA CurrentSince Feb 1, 2026 Accepting new patients
Southwest Durham Family Medicine, PLLC CurrentSince Mar 21, 2016 Accepting new patients
Generations Family Practice, PA CurrentSince Feb 1, 2026 Accepting new patients
Southpoint Family Medicine, PLLC CurrentSince Jun 7, 2017 Accepting new patients

Locations

610 Jones Ferry Rd
Ste 102
Carrboro, NC 27510
Phone (919) 929-1747

1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339

245 E NC Highway 54
Ste 205
Durham, NC 27713
Phone (919) 419-0242

3612 Shannon Rd
Ste 105
Durham, NC 27707
Phone (919) 419-0242

1309 Lees Chapel Rd
Greensboro, NC 27455
Phone (336) 286-5505

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFCAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBHEDD/Endpoint/FBHEDD
  • Direct secure messaging: katherine.kulenic@swdfm.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1083918841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 SHANNON RD STE 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076333",
            "telephone_number": "919-419-0242",
            "fax_number": "919-401-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 SHANNON RD",
            "address_2": "SUITE # 105",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076329",
            "telephone_number": "919-419-0242",
            "fax_number": "919-401-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Jones Ferry Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Carrboro",
            "state": "NC",
            "postal_code": "275106113",
            "country_code": "US",
            "telephone_number": "919-929-1747",
            "fax_number": "919-929-4862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULENIC",
        "first_name": "KATHERINE",
        "middle_name": "MCDANIEL",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-07",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.