Kathryn Joan Scully

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

5025372 Issued in NC

Practice address

1090 NE Gateway CT NE Ste 201
Concord, NC 28025-2423

Phone

(704) 403-7770

NPI assigned

Sep 1, 2026

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1235047838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 NE GATEWAY CT NE STE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252423",
            "telephone_number": "704-403-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NE GATEWAY CT NE STE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252423",
            "telephone_number": "704-403-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "KATHRYN",
        "middle_name": "JOAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NC",
            "license": "5025372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Scott, MS, OTR/L
• Chetha McLaurin Scott
• Chuckia Teniney Scott
• Kelli Cole Scott
• Lanesha Scott, LCSWA
• Elena Manalich Sears, MD
• Second Chance Agency LLC
• Daniel Henry Secrest
• Secure Direction NC, LLC.
• Monica Eliza Segovia-Hernandez

• Acute Care Nurse Practitioner in Concord, NC
• Providers in Concord, NC by specialty
• Acute Care Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.