Individual provider Active NPI

Kristin Doughty Trowbridge, NP

  • Gerontology Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1104603745
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5018794 Issued in NC
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

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018003707 NC Practitioner - Nurse Practitioner 7416302997 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5018794NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Core Care, PLLC CurrentSince Sep 9, 2025 Accepting new patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Dec 21, 2025 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Sep 4, 2023 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.

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

Verify at the official NPI Registry.