NPIMap

Individual provider Active NPI

Kaitlyn Ann Coyle

  • Primary Care Nurse Practitioner
  • Creedmoor, NC
National Provider Identifier
1114604246
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5018341 Issued in NC
Practice address
2503 E Lyon Station Rd
Creedmoor, NC 27522
Phone
(919) 528-1535
NPI assigned
Jun 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5018341 NC
Adult Health Nurse Practitioner 363LA2200X 5018341 NC
Primary Care Nurse Practitioner 363LP2300X 5018341 NC Primary

Addresses

Primary practice location

2503 E Lyon Station Rd
Creedmoor, NC 27522

Mailing address

1137 Hidden Hills Drive
Wake Forest, NC 27587
Phone (724) 681-4693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025000609 NC Practitioner - Nurse Practitioner 0244686483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians

Practice addresses (Care Compare)

2503 E Lyon Station Rd
Creedmoor, NC 27522-9112
Phone (919) 528-1535

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Youngsville, NC, CCN 347217
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155
  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Oct 9, 2023 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients

Locations

2503 E Lyon Station Rd
Creedmoor, NC 27522
Phone (919) 528-1535

1490 Williamsboro St
Oxford, NC 27565
Phone (919) 693-3972

Interoperability endpoints

  • Direct secure messaging: kkaran411535@direct.medicine.duke.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1114604246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 HIDDEN HILLS DRIVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "27587",
            "telephone_number": "724-681-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 E LYON STATION RD",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "27522",
            "telephone_number": "919-528-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "KAITLYN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5018341",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5018341",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5018341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

Verify at the official NPI Registry.