Individual provider Active NPI

Kerrith McDowell, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1093283301
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5011294 Issued in NC
Practice address
Duke Palliative Care 2301 Erwin Rd
Durham, NC 27710-6372
Phone
(919) 681-3459
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP019255 PA
Adult Health Nurse Practitioner 363LA2200X 5011294 NC Primary
Registered Nurse 163W00000X 594608 PA

Addresses

Primary practice location

Duke Palliative Care 2301 Erwin Rd
Durham, NC 27710-6372

Mailing address

27 McCloskey Rd
Flourtown, PA 19031-2017
Phone (267) 432-4637

Other practice location 1

250 Hospice Cir
Raleigh, NC 27607-6372
Phone (919) 828-0890

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
I20190415001714 NC Practitioner - Nurse Practitioner 3779824057 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
594608PAMDRegistered Nurse
5011294NCMDAdult Health Nurse Practitioner
SP019255PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Internal Medicine CurrentSince Jan 20, 2020 Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 20, 2020 Accepting new patients
Hospice of Wake County, Inc. Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 24, 2024 Accepting new patients
Hospice of Wake County, Inc. CurrentSince Jun 3, 2024 Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

250 Hospice Cir
Raleigh, NC 27607
Phone (919) 828-0890

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: kmcdowell557220@directhisp.wakemed.org
  • Direct secure messaging: kmcdowell418544@direct.medicine.duke.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1093283301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 MCCLOSKEY RD",
            "city": "FLOURTOWN",
            "state": "PA",
            "postal_code": "190312017",
            "telephone_number": "267-432-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DUKE PALLIATIVE CARE 2301 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277106372",
            "telephone_number": "919-681-3459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Hospice Cir",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076372",
            "country_code": "US",
            "telephone_number": "919-828-0890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "KERRITH",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP019255",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5011294",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "594608",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.