Individual provider Active NPI

Katrina Myers, CPS/NURSING

  • Home Health Aide
  • Wilmington, NC
National Provider Identifier
1245751262
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
044408 Issued in NC
Practice address
2702 McClammy St
Wilmington, NC 28405-1928
Phone
(910) 470-9886
NPI assigned
Jun 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 044408 NC Primary

Addresses

Primary practice location

2702 McClammy St
Wilmington, NC 28405-1928

Mailing address

2702 McClammy St
Wilmington, NC 28405-1928

Other practice location 1

608 grey squirrel drive
wilmington, NC 28409
Phone (910) 470-9886

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
044408NCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245751262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 MCCLAMMY ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284051928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 MCCLAMMY ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284051928",
            "telephone_number": "910-470-9886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 grey squirrel drive",
            "address_purpose": "LOCATION",
            "city": "wilmington",
            "state": "NC",
            "postal_code": "28409",
            "country_code": "US",
            "telephone_number": "910-470-9886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "KATRINA",
        "name_prefix": "Mrs.",
        "credential": "CPS/NURSING",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "044408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.