Norma Hawkins Kisida, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

300203 Issued in NC

Practice address

1206 Brown St
Washington, NC 27889-4671

Phone

(252) 946-4134

Fax

(252) 946-2432

NPI assigned

Aug 31, 2006

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

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 and National Provider Directory roles.

• Washington Pediatrics

  • Pediatrics Physician
  • Washington, NC
  • NPI 1144332404
  NPD (past)
• Washington Pediatrics

  • Pediatric Nutrition Registered Dietitian
  • Washington, NC
  • NPI 1982904223
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306958756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 RIVERCREST DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589300",
            "telephone_number": "252-946-4134",
            "fax_number": "252-946-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 BROWN ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278894671",
            "telephone_number": "252-946-4134",
            "fax_number": "252-946-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISIDA",
        "first_name": "NORMA",
        "middle_name": "HAWKINS",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "300203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Pisano Kennerly, NP
• Kerr Drug Inc
• Kids Possibilities
• Arlene King
• Kingdom of Rod Nemrt LLC
• Timothy Richard Klugh, O.D.
• Tara M Knott, MD
• Kalavathi Kolappa, MD
• Paul Kruchesky, DPT
• Karen L Kutchera, APRN BC NP

• Pediatric Nurse Practitioner in Washington, NC
• Providers in Washington, 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 Jul 8, 2007; 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.