Individual provider Active NPI

Katherine H Peppers, DNP, CPNP, CPMHS,

  • Pediatric Nurse Practitioner
  • Wendell, NC
National Provider Identifier
1366680373
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
215733 Issued in NC
Practice address
2473 Wendell Blvd
Wendell, NC 27591-6903
Phone
(919) 622-0255
Fax
(949) 437-2099
NPI assigned
Jan 29, 2009
Last updated
May 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 215733 NC
Pediatric Nurse Practitioner 363LP0200X 215733 NC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 215733 NC

Addresses

Primary practice location

2473 Wendell Blvd
Wendell, NC 27591-6903

Mailing address

5205 Deergrass CT
Raleigh, NC 27613-6568
Phone (919) 862-7633

Other practice location 1

270 Horizon Dr
Raleigh, NC 27615-4922
Phone (919) 845-0623

Other identifiers 2

IdentifierTypeStateIssuer
5004284OtherNCNC STATE LICENSE
7004663MedicaidNC

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
215733NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine H. Peppers DNP Nurse Practitioner Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1366680373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 DEERGRASS CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276136568",
            "telephone_number": "919-862-7633",
            "fax_number": "949-437-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 WENDELL BLVD",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275916903",
            "telephone_number": "919-622-0255",
            "fax_number": "949-437-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Horizon Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276154922",
            "country_code": "US",
            "telephone_number": "919-845-0623",
            "fax_number": "919-488-1716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPPERS",
        "first_name": "KATHERINE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DNP, CPNP, CPMHS,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "215733",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "215733",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "215733",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE",
            "identifier": "5004284",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004663",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wendell, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.