Individual provider Active NPI

Katharine Sayeko Moorehead, MD

  • Pediatrics Physician
  • Morehead City, NC
National Provider Identifier
1114913738
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200700362 Issued in NC
Practice address
3510 John Platt Dr
Morehead City, NC 28557-4321
Phone
(252) 726-0511
Fax
(252) 726-7441
NPI assigned
Sep 20, 2005
Last updated
Nov 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 200700362 NC Primary

Addresses

Primary practice location

3510 John Platt Dr
Morehead City, NC 28557-4321

Mailing address

3510 John Platt Dr
Morehead City, NC 28557-4321
Phone (252) 726-0511

Other identifiers 1

IdentifierTypeStateIssuer
5906236MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240329000294 NC Practitioner - Pediatric Medicine 5294173001 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200700362NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret County General Hospital Corporation CurrentSince Feb 5, 2024 Accepting new patients
Carteret Clinic for Adolescents and Children Pediatrics Past Accepting new patients

Locations

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

Interoperability endpoints

  • Direct secure messaging: kmoorehead@carteretclinic.opdirect.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1114913738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 JOHN PLATT DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574321",
            "telephone_number": "252-726-0511",
            "fax_number": "252-726-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 JOHN PLATT DR",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574321",
            "telephone_number": "252-726-0511",
            "fax_number": "252-726-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOREHEAD",
        "first_name": "KATHARINE",
        "middle_name": "SAYEKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200700362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906236",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.