Individual provider Active NPI

Kate B McNulty, ADULT NURSE PRACTITI

  • Adult Health Nurse Practitioner
  • Durham, NC
National Provider Identifier
1093908097
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
272957 Issued in NC
Practice address
1000 N Miami Blvd Ste 121
Durham, NC 27703-2296
Phone
(919) 902-7400
NPI assigned
Aug 22, 2007
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 272957 NC Primary

Addresses

Primary practice location

1000 N Miami Blvd Ste 121
Durham, NC 27703-2296

Mailing address

PO Box 746724
Atlanta, GA 30374-6724
Phone (312) 733-9730

Other practice location 1

2034 Creekside Landing Dr
Apex, NC 27502-3982
Phone (919) 363-8011

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
I20180910001926 NC Practitioner - Nurse Practitioner 4486743937 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Adult Health CurrentSince Jan 7, 2023 Accepting new patients
Southwest Durham Family Medicine, PLLC CurrentSince Jul 1, 2018 Accepting new patients
Southpoint Family Medicine, PLLC CurrentSince Jul 1, 2018 Accepting new patients
Carelon Medical Partners of North Carolina PC CurrentSince Jun 8, 2022 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Jan 7, 2023 Accepting new patients
Amn Medical Group II PLLC Past Accepting new patients
Creekside Womens Center Past Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

1000 N Miami Blvd
Ste 121
Durham, NC 27703
Phone (919) 902-7400

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

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFCAAA

Organizations & group practices 7

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1093908097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746724",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746724",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N MIAMI BLVD STE 121",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032296",
            "telephone_number": "919-902-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2034 Creekside Landing Dr",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275023982",
            "country_code": "US",
            "telephone_number": "919-363-8011",
            "fax_number": "919-363-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "KATE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "ADULT NURSE PRACTITI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-22",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "272957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.