Katherine A Church, RN MSN CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

168048 Issued in NC

Practice address

1455 25TH Avenue Dr NE
Hickory, NC 28601-9677

Phone

(828) 324-4453

Fax

(828) 324-9295

NPI assigned

Jul 8, 2008

Last updated

Nov 1, 2011By 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

Credentials

Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Childhealth Center, PA

  • Pediatrics Physician
  • Hickory, NC
  • NPI 1295729747
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1275796534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 25TH AVE. DR. NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286019655",
            "telephone_number": "828-324-4453",
            "fax_number": "828-324-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 25TH AVENUE DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286019677",
            "telephone_number": "828-324-4453",
            "fax_number": "828-324-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "RN MSN CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "168048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher E. Geertz, MD LLC
• Christopher Gray DDS, PLLC (Gray Family Dentistry)
• Christopher H. Brown, BS Dent, DDS,PA
• Sophia Song Hui Chung, LCMHCA
• Camella Church
• Joy Marie Ciaccio, FNP
• Danielle Marie Cisney
• Ashley Clack, LCMHCA, NCC
• Amber-Leigh Clamser, PA
• Claremont Optometric Eye Care Center, PLLC (Mountain View Eye Center)

• Pediatric Nurse Practitioner in Hickory, NC
• Providers in Hickory, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.