Individual provider Active NPI

Kari Tate Walker, FNP-C

  • Nurse Practitioner
  • Kernersville, NC
National Provider Identifier
1144699430
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0915121 Issued in NC
Practice address
500 Pineview Dr Ste 205
Kernersville, NC 27284-3814
Phone
(336) 329-3295
NPI assigned
Sep 17, 2015
Last updated
Aug 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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 5007951 NC
Nurse Practitioner 363L00000X F0915121 NC Primary

Addresses

Primary practice location

500 Pineview Dr Ste 205
Kernersville, NC 27284-3814

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

1977 Cotton Grove Rd
Lexington, NC 27292-5721
Phone (336) 243-3000

Other practice location 2

1122 Randolph St Ste 110
Thomasville, NC 27360-5730
Phone (336) 474-3433

Other names 1

  • Kari Tate Martin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmartin270563@direct.novanthealth.org

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
I20151119001857 NC Practitioner - Nurse Practitioner 2668772880 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NH-CL Clinics LLCGroup PAC ID 6305262692, 82 clinicians

Practice addresses (Care Compare)

500 Pineview Dr
Suite 205
Kernersville, NC 27284-3814
Phone (336) 329-3295

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F0915121NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc CurrentSince Apr 1, 2019 Accepting new patients
Carolina Medicorp Enterprises Inc Nurse Practitioner CurrentSince Oct 1, 2015 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Oct 1, 2015 Accepting new patients
NH-CL Clinics, LLC CurrentSince May 20, 2020 Accepting new patients
Carolina Medicorp Enterprises, LLC Current Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Neurosurgical Associates of the PastSince Nov 1, 2004 Accepting new patients

Locations (25 of 31)

349 New Leicester Hwy
Asheville, NC 28806
Phone (828) 412-0327

674 Merrimon Ave
Ste 101
Asheville, NC 28804
Phone (828) 348-7418

201 NC Highway 9
Black Mountain, NC 28711
Phone (828) 412-0327

11840 Southmore Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-4440

13129 S Tryon St
Ste 120
Charlotte, NC 28278
Phone (980) 337-4662

15235 John J Delaney Dr
Ste B
Charlotte, NC 28277
Phone (704) 243-8937

445 S Kings Dr
Charlotte, NC 28204
Phone (704) 384-1734

4815 Berewick Town Center Dr
Ste Cd
Charlotte, NC 28278
Phone (980) 337-4652

8036 Providence Rd
Ste 100
Charlotte, NC 28277
Phone (980) 301-8711

8450 Park Rd
Charlotte, NC 28210
Phone (980) 308-0143

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060

5303 Poplar Tent Rd
Ste 90
Concord, NC 28027
Phone (980) 866-4493

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

9121 Sam Furr Rd
Ste 108
Huntersville, NC 28078
Phone (704) 324-3590

9930 Kincey Ave
Ste 130
Huntersville, NC 28078
Phone (980) 556-7140

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

794 S Main St
Ste B
Kernersville, NC 27284
Phone (336) 904-2317

1977 Cotton Grove Rd
Lexington, NC 27292
Phone (336) 243-3000

9600 E Independence Blvd
#B
Matthews, NC 28105
Phone (704) 815-5624

1122 Randolph St
Ste 110
Thomasville, NC 27360
Phone (336) 474-3433

6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278

100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560

105 Hanes Square Cir
Winston Salem, NC 27103
Phone (336) 441-5569

Organizations & group practices 8

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": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629417600000",
    "number": "1144699430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PINEVIEW DR STE 205",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272843814",
            "telephone_number": "336-329-3295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1977 Cotton Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NC",
            "postal_code": "272925721",
            "country_code": "US",
            "telephone_number": "336-243-3000",
            "fax_number": "336-243-3012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 Randolph St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273605730",
            "country_code": "US",
            "telephone_number": "336-474-3433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "KARI",
        "middle_name": "TATE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007951",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "F0915121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmartin270563@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "500 Pineview Dr Ste 205",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272843814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "MARTIN",
            "middle_name": "TATE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.