Organization Active NPI

Dove House Children's Advocacy Center

  • Pediatric Nurse Practitioner
  • Statesville, NC
National Provider Identifier
1174208664
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
DOVE HOUSE CHILDREN'S ADVOCACY CENTER
Practice address
2407 Simonton Rd
Statesville, NC 28625-8247
Phone
(704) 883-9814
NPI assigned
Jun 21, 2023
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Beth McKeithan
Title
Executive Director
Phone
(828) 578-9248

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Pediatric Nurse Practitioner 363LP0200X NU Primary

Addresses

Primary practice location

2407 Simonton Rd
Statesville, NC 28625-8247

Mailing address

2407 Simonton Rd
Statesville, NC 28625-8247
Phone (704) 883-9814

National Provider Directory

National Provider Directory

Locations

2407 Simonton Rd
Statesville, NC 28625
Phone (704) 883-9814

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1174208664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 SIMONTON RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258247",
            "telephone_number": "704-883-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 SIMONTON RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258247",
            "telephone_number": "704-883-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE HOUSE CHILDREN'S ADVOCACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "MCKEITHAN",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-578-9248"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.