NPIMap

Individual provider Active NPI

Catherine S Kittrell

  • Physician Assistant
  • Jacksonville, NC
National Provider Identifier
1477511608
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103686 Issued in NC
Practice address
114A Memorial Dr
Jacksonville, NC 28546-6328
Phone
(910) 353-0700
Fax
(910) 353-5305
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103686 NC Primary

Addresses

Primary practice location

114A Memorial Dr
Jacksonville, NC 28546-6328

Mailing address

PO Box 986513
Department 100
Boston, MA 02298-6513
Phone (910) 219-8310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address catherinekittrell@fcmhms.allscriptsdirect.net Direct Fayette County Memorial Hospital

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
103686NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Amm Healthcare, PA CurrentSince May 22, 2022 Accepting new patients
Ross Emergency Group PC, Inc Physician Assistant Past Accepting new patients
Circleville Emergency Physicians Inc. Past Accepting new patients
Galion Emergency Physicians Inc Past Accepting new patients
Hocking Emergency Physicians Inc Past Accepting new patients
Family Care Clinic, P.a. Past Accepting new patients
Immediate Health Associates Past Accepting new patients
Sidney Emergency Physicians, Inc. Past Accepting new patients
Marysville Emergency Physicians Inc. Past Accepting new patients
Fairfield Hospitalists Inc Past Accepting new patients
Mid-Ohio Emergency Services, LLC Physician Assistant Past Accepting new patients
Berger Acute Services Past Accepting new patients
Emergency Physician Associates of North Carolina, P.C. Past Accepting new patients
Middletown Emergency Physicians, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ckittrell@yourcarecommunity.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1477511608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986513",
            "address_2": "DEPARTMENT 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986513",
            "telephone_number": "910-219-8310",
            "fax_number": "910-939-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114A MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466328",
            "telephone_number": "910-353-0700",
            "fax_number": "910-353-5305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTRELL",
        "first_name": "CATHERINE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "catherinekittrell@fcmhms.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "Fayette County Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1510 Columbus Ave",
            "address_2": "Suite # 230",
            "city": "Washington Court House",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431601899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.