Active NPI
Katherine Faye Childers
- Student in an Organized Health Care Education/Training Program
- Clyde, NC
National Provider Identifier
1114863461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 262 Leroy George Dr
Clyde, NC 28721-7430 - Phone
- (828) 456-7311
- NPI assigned
- Apr 28, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | Primary |
Addresses
Primary practice location
262 Leroy George Dr
Clyde, NC 28721-7430
Mailing address
262 Leroy George Dr
Clyde, NC 28721-7430
Other names 1
- Katie Faye Childers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1114863461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 LEROY GEORGE DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287217430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 LEROY GEORGE DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "287217430",
"telephone_number": "828-456-7311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "KATHERINE",
"middle_name": "FAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-28",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "CHILDERS",
"middle_name": "FAYE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Clyde, NC
- Gianna Marie Catania-Thomas, LCSW, LCAS-A
- Lauren Elizabeth Cates, NCC, LPC-A
- Kristel Whitley Causby, OD
- James Thornton Chandler, M.D.
- Sarah Chepeleff, MD
- Christofer Catterson MD PA
- Rebekah Clanton
- Sandra Singleton Clark, REGISTERED NURSE
- Jennifer Bryson Clinard, MS CCC-SLP
- Clyde Emergency Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.