Kaitlyn Shannon Macon

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

96867 Issued in NC

Practice address

20 Page Dr Ste 8
Pinehurst, NC 28374-8847

Phone

(910) 621-2937

NPI assigned

Mar 10, 2026

Last updated

Mar 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1235085309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 SUTPHIN RD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273307629",
            "telephone_number": "910-621-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PAGE DR STE 8",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748847",
            "telephone_number": "910-621-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACON",
        "first_name": "KAITLYN",
        "middle_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "96867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Macadam
• Ida Macaluso
• Alexis Macdonald
• Alexia Machado
• Rudi Marshae Mack, PMHNP
• Morgan Macri
• Jamie Megan Madden, CRNA
• Delijia Madkins
• Nicole Mages
• Iryna Mahan, MD

• Licensed Practical Nurse in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.