Individual provider Active NPI

Katie Brown, NP-C

  • Family Nurse Practitioner
  • Statesville, NC
National Provider Identifier
1104480862
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011731 Issued in NC
Practice address
1405 Fern Creek Dr
Statesville, NC 28625-9376
Phone
(704) 659-7866
Fax
(877) 881-8455
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011731 NC
Family Nurse Practitioner 363LF0000X 5011731 NC Primary

Addresses

Primary practice location

1405 Fern Creek Dr
Statesville, NC 28625-9376

Mailing address

2510 Side LN
Conover, NC 28613-8886
Phone (828) 320-2211

Other practice location 1

2660 Tate Blvd SE Ste 201
Hickory, NC 28602-1466
Phone (704) 659-7865

Other practice location 2

9930 Kincey Ave Ste 165
Huntersville, NC 28078-6541
Phone (704) 947-5005

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
I20190816001872 NC Practitioner - Nurse Practitioner 5294062071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Oncology Specialists PLLCGroup PAC ID 4082739560, 14 clinicians
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, 212 clinicians

Practice addresses (Care Compare)

1405 Fern Creek Dr
Statesville, NC 28625-9376
Phone (704) 659-7866

212 Mulberry St SW
Lenoir, NC 28645-5414
Phone (828) 757-5100

322 Mulberry St SW
Lenoir, NC 28645-5702
Phone (828) 757-6400

Hospital & facility affiliations

  • Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Jul 2, 2019 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince May 1, 2020 Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc. Current Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Blowing Rock Medical Clinic PR Current Accepting new patients
Southern Oncology Specialists, PLLC CurrentSince Jan 8, 2026 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Southern Oncology Specialists, PLLC CurrentSince Jan 8, 2026 Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Jul 2, 2019 Accepting new patients

Locations

8439 Valley Blvd
Blowing Rock, NC 28605
Phone (828) 295-3116

10320 Mallard Creek Rd
Ste 100
Charlotte, NC 28262
Phone (704) 547-9500

268 Gillman Rd
Ste A
Denver, NC 28037
Phone (704) 659-7830

160 River Bend Dr
Ste A
Granite Falls, NC 28630
Phone (828) 757-5042

270 Pine Mountain Rd
Ste 2
Hudson, NC 28638
Phone (828) 757-6330

9930 Kincey Ave
Ste 165
Huntersville, NC 28078
Phone (704) 947-5005

322 Mulberry St SW
Ste A
Lenoir, NC 28645
Phone (828) 757-6400

1731 Connelly Springs Rd
Lenoir, NC 28645
Phone (828) 728-3362

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

401 Mulberry St SW
Ste 102
Lenoir, NC 28645
Phone (828) 757-6434

146 Medical Park Rd
Ste 212
Mooresville, NC 28117
Phone (704) 659-7844

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

1405 Fern Creek Dr
Statesville, NC 28625
Phone (704) 659-7866

Interoperability endpoints

  • Direct secure messaging: kbrown536119@direct.unc.nchie.net

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1104480862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 SIDE LN",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138886",
            "telephone_number": "828-320-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-659-7866",
            "fax_number": "877-881-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2660 Tate Blvd SE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286021466",
            "country_code": "US",
            "telephone_number": "704-659-7865",
            "fax_number": "877-881-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9930 Kincey Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786541",
            "country_code": "US",
            "telephone_number": "704-947-5005",
            "fax_number": "877-881-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KATIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011731",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.