Active NPI
Kira Mollenkopf Segebarth, RD, CPNP
- Pediatric Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 5005172
- Practice address
- 201 Queens Rd
Charlotte, NC 28204-3217 - Phone
- (704) 316-5910
- NPI assigned
- May 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5005172 | NC | Primary |
Addresses
Primary practice location
201 Queens Rd
Charlotte, NC 28204-3217
Mailing address
1900 Vernon Dr
Charlotte, NC 28211-1720
Phone (704) 960-9178
Other practice location 1
4501 Cameron Valley Pkwy
Suite 200
Charlotte, NC 28211-4297
Phone (704) 512-5836
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7004940 | Medicaid | NC | |
| NP1835 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110817000582 | NC | Practitioner - Nurse Practitioner | 5890964316 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Pediatric Endocrinology & Diabetes Specialists | Past | Accepting new patients | |
| Pediatric Endocrinology & Diabetes Specialists | Past | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
201 Queens Rd
Charlotte, NC 28204
Phone (704) 316-5285
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- ksegebarth257136@direct.novanthealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
NC
-
- Pediatric Endocrinology Physician
- Charlotte, NC
- NPI 1386164051
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
-
- Pediatric Endocrinology Physician
- Hickory, NC
- NPI 1003130493
-
- Pediatric Endocrinology Physician
- Charlotte, NC
- NPI 1679582134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1295027845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 VERNON DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111720",
"telephone_number": "704-960-9178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 QUEENS RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043217",
"telephone_number": "704-316-5910"
}
],
"practiceLocations": [
{
"address_1": "4501 Cameron Valley Pkwy",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282114297",
"country_code": "US",
"telephone_number": "704-512-5836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGEBARTH",
"first_name": "KIRA",
"middle_name": "MOLLENKOPF",
"credential": "RD, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-13",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "5005172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7004940",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP1835",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.