Kathleen M Shapley-Quinn, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9700751 Issued in NC

Practice address

610 Jones Ferry Rd Ste 102
Carrboro, NC 27510-6113

Phone

(919) 929-1746

Fax

(919) 933-5168

NPI assigned

Dec 13, 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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Carrboro Family Medicine Center, PA

  • Family Medicine Physician
  • Carrboro, NC
  • NPI 1972719698
  Medicare reassignment NPD
• University of North Carolina at Chapel Hill

  • Anesthesiology Physician
  • Chapel Hill, NC
  • NPI 1780669200

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1326109299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 JONES FERRY RD STE 102",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106113",
            "telephone_number": "919-929-1746",
            "fax_number": "919-933-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 JONES FERRY RD STE 102",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275106113",
            "telephone_number": "919-929-1746",
            "fax_number": "919-933-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPLEY-QUINN",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9700751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Nathaniel Schuck, PHARM.D.
• Samantha Jennings Scott, LCSW
• Debra Lee Seaton, DMD
• Smruti Patel Shah, DPT
• Chitra Shankar, PHARMD
• Olivia Shelton, DPT
• Kevin Eldon Shilling
• Shivani L Chudasama LCSW PLLC
• Neha Shrestha, DMD
• Hannah Shumaker

• Family Medicine Physician in Carrboro, NC
• Providers in Carrboro, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.

Verify at the official NPI Registry.