Active NPI
Katherine H Peppers, DNP, CPNP, CPMHS,
- Pediatric Nurse Practitioner
- Wendell, NC
National Provider Identifier
1366680373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 215733
- 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, 2019
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5004284 | Other | NC | NC STATE LICENSE |
| 7004663 | 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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215733 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wendell, NC
- NPI 1154888642
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.