Katina Dena' Little, CPNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

20090378 Issued in NC

Practice address

2509A Lewisville Clemmons Rd # 1004
Clemmons, NC 27012-8712

Phone

(336) 608-7411

Fax

(336) 920-3731

NPI assigned

Mar 30, 2009

Last updated

Jan 12, 2024By 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 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: klittle119484@direct.novanthealth.org

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.

• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Purposeful Pediatrics, PLLC

  • Nurse Practitioner
  • Clemmons, NC
  • NPI 1225710866
  NPD Authorized official
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Bariatric Solutions

  • Surgery Physician
  • Charlotte, NC
  • NPI 1982935805
  NPD

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1285876714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 HOLLINSWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036245",
            "telephone_number": "336-608-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509A LEWISVILLE CLEMMONS RD # 1004",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270128712",
            "telephone_number": "336-608-7411",
            "fax_number": "336-920-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "KATINA",
        "middle_name": "DENA'",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-30",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "20090378",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "20090378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEDIATRIC NURSING CERTIFICATION BOARD",
            "identifier": "20090378",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Saunders Lennon, CNM
• Ashley Levasseur, BCBA
• Sarah Elizabeth Lewis, PHARMD
• Anna Michelle Licari, PHARMD
• Little Bear Speech Services, PC
• Bethany Rena Low, APRN
• Martha V Low, MA LPC
• Lsa Elms at Tanglewood, Inc. (Elms at Tanglewood)
• John T Lundquist, C.PED.
• Jamie Lauren Lunsford

• Nurse Practitioner in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.