Katherine Smith Palmgren, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5014369 Issued in NC

Practice address

7400 Carmel Executive Park Dr Ste 155
Charlotte, NC 28226-8242

Phone

(828) 350-1177

Fax

(828) 350-1188

NPI assigned

Mar 26, 2021

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katherine Dawn Smith Former name

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optum Behavioral Care of North Carolina, PC

  dba Carolina Behavioral Care Centers

  • Counseling Psychologist
  • Hillsborough, NC
  • NPI 1629843933
  Medicare reassignment Care Compare group NPD
• Carolina Behavioral Care, PA

  • Psychiatry Physician
  • Hillsborough, NC
  • NPI 1487709861
  NPD
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Cary, NC
  • NPI 1548035876
  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD
• Carolina Behavioral Care, PA

  • Psychiatry Physician
  • Pinehurst, NC
  • NPI 1982642393
  NPD (past)

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1114504016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 CARMEL EXECUTIVE PARK DR STE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268242",
            "telephone_number": "828-350-1177",
            "fax_number": "828-350-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 CARMEL EXECUTIVE PARK DR STE 155",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268242",
            "telephone_number": "828-350-1177",
            "fax_number": "828-350-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMGREN",
        "first_name": "KATHERINE",
        "middle_name": "SMITH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5014369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SMITH",
            "middle_name": "DAWN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott P Palmer, MD
• Palmetto Community Group of NC, LLC
• Palmetto Oxygen LLC
• Palmetto Pediatrics
• Palmetto Youth and Family Services
• Emily Teague Palmieri, LPC, NCC, M.S., EDS
• Elizabeth Cowen Palmquist, MSN, FNP-C
• Kate A Palo, PT, DPT
• Benedetto Albert Palombo, PMHNP-BC
• Jennifer Nicole Paloski, PHARMD

• Psychiatric/Mental Health Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.

Verify at the official NPI Registry.