Active NPI
Kathy Powell
- Nurse's Aide
- Lumberton, NC
National Provider Identifier
1306964648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- HC3088
- Practice address
- 204 E 5TH St
Lumberton, NC 28358-5576 - Phone
- (910) 272-8037
- Fax
- (910) 272-8039
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC3088 | NC | |
| Nurse's Aide | 376K00000X | HC3088 | NC | Primary |
Addresses
Primary practice location
204 E 5TH St
Lumberton, NC 28358-5576
Mailing address
204 E 5TH St
Lumberton, NC 28358-5576
Phone (910) 272-8037
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408555 | Medicaid | NC | |
| 660127 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC3088 | NC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306964648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E 5TH ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283585576",
"telephone_number": "910-272-8037",
"fax_number": "910-272-8039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E 5TH ST",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283585576",
"telephone_number": "910-272-8037",
"fax_number": "910-272-8039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "KATHY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC3088",
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NC",
"license": "HC3088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408555",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "660127",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.