Kimberly Shannel Patterson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5010519 Issued in NC

Practice address

418 S King St
Laurinburg, NC 28352-3704

Phone

(910) 276-7570

NPI assigned

May 10, 2018

Last updated

May 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpatterson2808928@carolinashealthcaresystem.direct-ci.com

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.

• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Carolina Quickcare Family Practice, PLLC

  dba Carolina QuickCare Family Practice

  • Internal Medicine Physician
  • Biscoe, NC
  • NPI 1881360899

  Single Specialty

  Medicare reassignment NPD
• Lowcountry Urgent Care LLC

  dba Lowcountry Urgent Care

  • Primary Care Nurse Practitioner
  • Beaufort, SC
  • NPI 1326364100

  Single Specialty

  Medicare reassignment NPD
• Scotland Memorial Hospital Inc

  dba Scotland Professional Services

  • General Practice Physician
  • Laurinburg, NC
  • NPI 1518951144
  NPD
• Harris Family Practice PLLC

  • Family Medicine Physician
  • Laurinburg, NC
  • NPI 1992925978

  Single Specialty

  NPD (past)
• Purcell Clinic, PA

  • Specialist
  • Laurinburg, NC
  • NPI 1912995630

  Single Specialty

  NPD (past)
• The Purcell Clinic, PA

  • Pediatrics Physician
  • Laurinburg, NC
  • NPI 1528994654
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scotland Memorial Hospital Inc

  • General Acute Care Hospital
  • Laurinburg, NC
  • NPI 1457345597
  Care Compare affiliation

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1154811693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MAYNARD AVENUE",
            "address_2": "PO BOX 17",
            "city": "ANSONVILLE",
            "state": "NC",
            "postal_code": "28007",
            "telephone_number": "704-695-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S KING ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523704",
            "telephone_number": "910-276-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KIMBERLY",
        "middle_name": "SHANNEL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald A Parker, MD
• Brian M. Parkes, MD
• Phyllis Peterson Parrish, LCSW
• Lindsay Pasch, PA
• Ekta Vinodchandra Patel, MD
• Yolanda Patterson, LPC, LCAS
• Tiffany Marie Payne, DO
• Pee Dee Orthopedic Assoc
• Joshua Adams Peele, MSW, LCSW
• Pegues Personal Care Agency, Inc.

• Family Nurse Practitioner in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.