Individual provider Active NPI

Katasha Jarrin, FNP

  • Family Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1154865251
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5009144 Issued in NC
Practice address
2529 Raeford Rd Ste a
Fayetteville, NC 28305-5483
Phone
(910) 703-7097
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 5009144 NC Primary
Psychiatry Physician 2084P0800X 5009144 NC

Addresses

Primary practice location

2529 Raeford Rd Ste a
Fayetteville, NC 28305-5483

Mailing address

2529 Raeford Rd Ste a
Fayetteville, NC 28305-5483
Phone (910) 703-7097

Other names 1

  • Katasha Jarrin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20231220003119 NC Practitioner - Nurse Practitioner 1658658828 Reassigns benefits to 4 organizations
I20250814004245 DC Practitioner - Nurse Practitioner 1658658828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009144NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatry CurrentSince Oct 1, 2024 Accepting new patients
Balance Care Solutions PLLC CurrentSince May 30, 2023 Accepting new patients
Mending Minds Behavioral Health, PLLC CurrentSince Nov 1, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

4001 Cumberland Rd
Fayetteville, NC 28306
Phone (910) 426-6363

2529 Raeford Rd
Ste A
Fayetteville, NC 28305
Phone (910) 227-9060

1766 Metromedical Dr
Fayetteville, NC 28304
Phone (910) 483-4680

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1154865251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 RAEFORD RD STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055483",
            "telephone_number": "910-703-7097",
            "fax_number": "910-637-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 RAEFORD RD STE A",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055483",
            "telephone_number": "910-703-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARRIN",
        "first_name": "KATASHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2024-06-13",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009144",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "5009144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATASHA",
            "last_name": "JARRIN",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.