Individual provider Active NPI

Katie L White, NP

  • Nurse Practitioner
  • Morehead City, NC
National Provider Identifier
1215583232
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5012131 Issued in NC
Practice address
302 Medical Park CT
Morehead City, NC 28557-4346
Phone
(252) 247-2013
Fax
(252) 247-7299
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012131 NC Primary

Addresses

Primary practice location

302 Medical Park CT
Morehead City, NC 28557-4346

Mailing address

302 Medical Park CT
Morehead City, NC 28557-4346
Phone (252) 247-2013

Other practice location 1

1165 Cedar Point Blvd Ste H
Cedar Point, NC 28584-1030
Phone (252) 499-6850

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
I20190917002658 NC Practitioner - Nurse Practitioner 9638408610 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret County General Hospital Corporation CurrentSince Dec 2, 2019 Accepting new patients
Carteret Medical Group LLC CurrentSince Aug 15, 2019 Accepting new patients

Locations

1165 Cedar Point Blvd
Ste H
Cedar Point, NC 28584
Phone (252) 499-6850

302 Medical Park Ct
Morehead City, NC 28557
Phone (252) 247-2013

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

Interoperability endpoints

  • Direct secure messaging: katie.white.1@15484.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15484/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1215583232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574346",
            "telephone_number": "252-247-2013",
            "fax_number": "252-247-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MEDICAL PARK CT",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574346",
            "telephone_number": "252-247-2013",
            "fax_number": "252-247-7299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1165 Cedar Point Blvd Ste H",
            "address_purpose": "LOCATION",
            "city": "Cedar Point",
            "state": "NC",
            "postal_code": "285841030",
            "country_code": "US",
            "telephone_number": "252-499-6850",
            "fax_number": "252-393-1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.