Individual provider Active NPI

Katrina T Sidney, FNP-C

  • Family Nurse Practitioner
  • Smithfield, NC
National Provider Identifier
1306372487
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224521 Issued in NC
Practice address
712 Wilkins St Ste E
Smithfield, NC 27577-4664
Phone
(919) 390-1677
Fax
(919) 238-7974
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5009542 NC
Family Nurse Practitioner 363LF0000X 224521 NC Primary

Addresses

Primary practice location

712 Wilkins St Ste E
Smithfield, NC 27577-4664

Mailing address

1425 S Pollock St # 177
Selma, NC 27576-3405
Phone (919) 390-1677

Other practice location 1

101 Robeson St Ste 202
Fayetteville, NC 28301-5520
Phone (919) 615-1636

Other practice location 2

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (866) 949-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170829000373 NC Practitioner - Nurse Practitioner 1355614272 Reassigns benefits to 7 organizations
I20240411001649 SC Practitioner - Nurse Practitioner 1355614272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group North CarolinaGroup PAC ID 7719162254, 78 clinicians

Practice addresses (Care Compare)

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-8040

Hospital & facility affiliations

  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5009542NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of North Carolina, PC CurrentSince Sep 23, 2018 Accepting new patients
Fayetteville Urgent Care and Family Medicine PA CurrentSince Apr 6, 2026 Accepting new patients
Lifesource of North Carolina CurrentSince Oct 23, 2023 Accepting new patients
Apogee Medical Group North Carolina CurrentSince Jul 1, 2018 Accepting new patients
Restoration Family Services, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Lifesource of North Carolina CurrentSince Oct 23, 2023 Accepting new patients
Sandhills Medical Care Center, PLLC CurrentSince Apr 6, 2026 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC CurrentSince Nov 4, 2018 Accepting new patients
Hospitalist Medicine Physicians of North Carolina - Rocky Mount CurrentSince Dec 10, 2018 Accepting new patients
Katrina T Sidney, LLC Family CurrentSince Apr 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 15, 2022 Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

20 Publix Dr
Ste 104
Clayton, NC 27527
Phone (919) 737-2292

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

4155 Ferncreek Dr
Ste 102
Fayetteville, NC 28314
Phone (910) 323-4823

4155 Ferncreek Dr
Ste 102B
Fayetteville, NC 28314
Phone (910) 424-6553

500 Benson Rd
Garner, NC 27529
Phone (984) 233-1471

500 Benson Rd
Ste 104
Garner, NC 27529

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1425 S Pollock St
Selma, NC 27576

714 Wilkins St
Smithfield, NC 27577
Phone (919) 938-9502

712 Wilkins St
Smithfield, NC 27577
Phone (910) 934-0281

712 Wilkins St
Ste D
Smithfield, NC 27577
Phone (919) 207-7641

712 Wilkins St
Ste E
Smithfield, NC 27577
Phone (919) 390-1677

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

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 1

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1306372487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S POLLOCK ST # 177",
            "city": "SELMA",
            "state": "NC",
            "postal_code": "275763405",
            "telephone_number": "919-390-1677",
            "fax_number": "919-238-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 WILKINS ST STE E",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774664",
            "telephone_number": "919-390-1677",
            "fax_number": "919-238-7974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Robeson St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283015520",
            "country_code": "US",
            "telephone_number": "919-615-1636",
            "fax_number": "910-615-1636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Tryon St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020213",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIDNEY",
        "first_name": "KATRINA",
        "middle_name": "T",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009542",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "224521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.