Individual provider Active NPI

Katrina Traverso, FNP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1346535929
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5005631 Issued in NC
Practice address
1025 Morehead Medical Dr
Charlotte, NC 28204-2963
Phone
(704) 355-7150
NPI assigned
Jun 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 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 336766 NY
Family Nurse Practitioner 363LF0000X 5005631 NC Primary

Addresses

Primary practice location

1025 Morehead Medical Dr
Charlotte, NC 28204-2963

Mailing address

1025 Morehead Medical Dr
Charlotte, NC 28204-2963
Phone (704) 355-7150

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
I20121116000408 NC Practitioner - Nurse Practitioner 7719138916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ubylee Healthcare Group, PLLCGroup PAC ID 8921349044, 14 clinicians

Practice addresses (Care Compare)

9723 Northeast Pkwy
Suite 100
Matthews, NC 28105-9719
Phone (980) 262-3007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5005631NCMDFamily Nurse Practitioner
336766NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ubylee Healthcare Group CurrentSince Apr 1, 2025 Accepting new patients
Ubylee Healthcare Group, PLLC Current Accepting new patients
Ubylee Healthcare Group, PLLC Family CurrentSince Apr 1, 2025 Accepting new patients
Ubylee Healthcare Group, PLLC PastSince Dec 1, 2024 Accepting new patients

Locations

1044 X Ray Dr
Gastonia, NC 28054
Phone (704) 691-7145

2610 Dale Earnhardt Blvd
Kannapolis, NC 28083
Phone (980) 262-3007

1674 Cranium Dr
Ste 103
Rock Hill, SC 29732
Phone (980) 262-3007

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.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1346535929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042963",
            "telephone_number": "704-355-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MOREHEAD MEDICAL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042963",
            "telephone_number": "704-355-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERSO",
        "first_name": "KATRINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-13",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336766",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5005631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.