Individual provider Active NPI

Kristina Brown Deloache, RN, NNP-BC

  • Neonatal Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1174949812
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
5006795 Issued in NC
Practice address
101 Manning Dr
Room 4051, NC Memorial Hospital
Chapel Hill, NC 27599-7596
Phone
(919) 966-5063
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X DELO-11P1TM NC
Neonatal Nurse Practitioner 363LN0000X 5006795 NC Primary

Addresses

Primary practice location

101 Manning Dr
Room 4051, NC Memorial Hospital
Chapel Hill, NC 27599-7596

Mailing address

101 Manning Dr
Room 4051, NC Memorial Hospital
Chapel Hill, NC 27599-7596
Phone (919) 966-5063

Other names 1

  • Kristina Nicole Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5006795NCMDNeonatal Nurse Practitioner
DELO-11P1TMNCMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Park Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kdeloache78079@direct.unc.nchie.net

Organizations & group practices 1

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": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1174949812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "ROOM 4051, NC MEMORIAL HOSPITAL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997596",
            "telephone_number": "919-966-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DR",
            "address_2": "ROOM 4051, NC MEMORIAL HOSPITAL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997596",
            "telephone_number": "919-966-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACHE",
        "first_name": "KRISTINA",
        "middle_name": "BROWN",
        "name_prefix": "Mrs.",
        "credential": "RN, NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NC",
            "license": "DELO-11P1TM",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NC",
            "license": "5006795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINA",
            "last_name": "BROWN",
            "middle_name": "NICOLE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.