Individual provider Active NPI

Kathleen E Immler, FNP

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1124756242
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
501664 Issued in NC
Practice address
224 High House Rd Ste 100
Cary, NC 27513-4278
Phone
(919) 380-7531
NPI assigned
Aug 9, 2022
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 501664 NC Primary
Internal Medicine Physician 207R00000X 501664 NC

Addresses

Primary practice location

224 High House Rd Ste 100
Cary, NC 27513-4278

Mailing address

224 High House Rd Ste 100
Cary, NC 27513-4278
Phone (919) 380-7531

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
I20221015000119 NC Practitioner - Nurse Practitioner 7810363884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Carolina at Chapel Hill School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations Family Practice PAGroup PAC ID 7517977200, 33 clinicians

Practice addresses (Care Compare)

610 Jones Ferry Rd
Suite 102
Carrboro, NC 27510-6113
Phone (919) 929-1747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
501664NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Family Practice, PA Internal Medicine CurrentSince Aug 11, 2025 Accepting new patients
Internal Medicine and Pediatrics Associates, PA Internal Medicine CurrentSince Aug 22, 2022 Accepting new patients
Generations Family Practice, PA Current Accepting new patients

Locations

610 Jones Ferry Rd
Ste 102
Carrboro, NC 27510
Phone (919) 929-1747

1021 Darrington Dr
Ste 101
Cary, NC 27513
Phone (919) 852-3339

224 High House Rd
Ste 100
Cary, NC 27513
Phone (919) 380-1189

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, 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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1124756242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HIGH HOUSE RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134278",
            "telephone_number": "919-380-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 HIGH HOUSE RD STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134278",
            "telephone_number": "919-380-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMMLER",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "501664",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "501664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.