Individual provider Active NPI

Karen Norris Whitehead, ANP, FNP, BC

  • Adult Health Nurse Practitioner
  • Washington, NC
National Provider Identifier
1295037299
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
5004984 Issued in NC
Practice address
1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone
(252) 946-2101
Fax
(252) 975-0959
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 5004984 NC Primary

Addresses

Primary practice location

1380 Cowell Farm Rd
Washington, NC 27889-3431

Mailing address

1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone (252) 946-2101

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kwhitehead33042@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110113000539 NC Practitioner - Nurse Practitioner 2961691589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Community Health Services IncGroup PAC ID 9931010881, 22 clinicians

Practice addresses (Care Compare)

120 W Martin Luther King Jr Dr
Washington, NC 27889-4906
Phone (252) 940-0602

Hospital & facility affiliations

  • Gentiva Health Services Home health agency, Washington, NC, CCN 347329
  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004984NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Community Health Services, Inc. CurrentSince May 1, 2024 Accepting new patients
Metropolitan Community Health Services, Inc. CurrentSince May 1, 2024 Accepting new patients
Metropolitan Community Health Services, Inc Current Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 1, 2011 Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1380 Cowell Farm Rd
Washington, NC 27889
Phone (252) 946-0900

120 W Martin Luther King Jr Dr
#J
Washington, NC 27889
Phone (252) 940-0602

120 W Martin Luther King Jr Dr
Washington, NC 27889
Phone (252) 644-7003

1130 Godwin Dr
Williamston, NC 27892
Phone (252) 789-0401

Interoperability endpoints

  • Direct secure messaging: kwhitehead693323@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1295037299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 COWELL FARM RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893431",
            "telephone_number": "252-946-2101",
            "fax_number": "252-975-0959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 COWELL FARM RD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893431",
            "telephone_number": "252-946-2101",
            "fax_number": "252-975-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "KAREN",
        "middle_name": "NORRIS",
        "credential": "ANP, FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwhitehead33042@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

Verify at the official NPI Registry.