Active NPI
Kristin Doughty Trowbridge, NP
- Gerontology Nurse Practitioner
- Jacksonville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5018794
- Practice address
- 1839 Onslow Dr
Jacksonville, NC 28540-5906 - Phone
- (910) 455-3610
- NPI assigned
- Sep 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5018794 | NC | Primary |
Addresses
Primary practice location
1839 Onslow Dr
Jacksonville, NC 28540-5906
Mailing address
1033 Bracken Fern Dr
New Bern, NC 28560-7150
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5018794 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Care, PLLC | Current | Accepting new patients | |
| Complexcare Medical Group Mid-Atlantic H PLLC | Current | Accepting new patients | |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Theoria Medical | Nurse Practitioner | Past | Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521
214 S William St
Ste 2
Goldsboro, NC 27530
Phone (888) 624-2673
610 N Jefferson Ave
Goldsboro, NC 27530
Phone (919) 732-9292
1839 Onslow Dr
Jacksonville, NC 28540
Phone (910) 455-3610
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Goldsboro, NC
- NPI 1336904549
-
- Internal Medicine Physician
- Novi, MI
- NPI 1275427429
NC
-
dba Theoria Primary Care
- Internal Medicine Physician
- Brighton, MI
- NPI 1164186946
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1104603745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 BRACKEN FERN DR",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285607150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 ONSLOW DR",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285405906",
"telephone_number": "910-455-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROWBRIDGE",
"first_name": "KRISTIN",
"middle_name": "DOUGHTY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-08",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5018794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.