Active NPI
Kathy Jo Asbury, ARNP
- Family Nurse Practitioner
- Supply, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5004946
- Practice address
- 610 Ocean Hwy W
Supply, NC 28462-4048 - Phone
- (910) 253-5885
- Fax
- (910) 253-5887
- NPI assigned
- Aug 19, 2008
- Last updated
- Jan 28, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5004946 | NC | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 46254 | KS | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5004946 | NC |
Addresses
Primary practice location
610 Ocean Hwy W
Supply, NC 28462-4048
Mailing address
PO Box 281
Bolivia, NC 28422-0281
Phone (910) 253-5885
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
610 Ocean Hwy W
Supply, NC 28462-4048
Phone (910) 253-5885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004946 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Southeastern United Care LLC | Current | Accepting new patients | |
| Moving Ahead Counseling Services | Psychiatric/Mental Health | Current | Accepting new patients |
| Coastal Southeastern United Care LLC | Past | Accepting new patients |
Locations
10 Referendum Dr NE
#F115
Bolivia, NC 28422
Phone (910) 253-5801
3640 Express Dr
Shallotte, NC 28470
Phone (910) 294-8471
610 Ocean Hwy W
Supply, NC 28462
Phone (910) 253-5885
100 Memory Plz
#A
Whiteville, NC 28472
Phone (910) 640-2230
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Supply, NC
- NPI 1629533997
Psychiatric/Mental Health
-
dba Coastal Southeastern United Care
- Community/Behavioral Health Agency
- Supply, NC
- NPI 1346477403
-
- Community/Behavioral Health Agency
- Bladenboro, NC
- NPI 1093032310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738022400000",
"number": "1356598619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 281",
"city": "BOLIVIA",
"state": "NC",
"postal_code": "284220281",
"telephone_number": "910-253-5885",
"fax_number": "910-253-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 OCEAN HWY W",
"city": "SUPPLY",
"state": "NC",
"postal_code": "284624048",
"telephone_number": "910-253-5885",
"fax_number": "910-253-5887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASBURY",
"first_name": "KATHY",
"middle_name": "JO",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2025-01-28",
"certification_date": "2025-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5004946",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "KS",
"license": "46254",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NC",
"license": "5004946",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Supply, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.