Active NPI
Katherine Hall Kruppenbach, FNP-C
- Nurse Practitioner
- Asheboro, NC
National Provider Identifier
1518485333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5009791
- Practice address
- 223 W Ward St Ste B
Asheboro, NC 27203 - Phone
- (336) 702-1731
- Fax
- (336) 702-3014
- NPI assigned
- Aug 31, 2017
- Last updated
- Nov 21, 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 | 207610 | NC | |
| Nurse Practitioner | 363L00000X | 5009791 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | 207610 | NC |
Addresses
Primary practice location
223 W Ward St Ste B
Asheboro, NC 27203
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-1331
Other practice location 1
190 Riverview St
Franklin, NC 28734-2612
Phone (828) 349-6804
Other practice location 2
190 Riverview St
Franklin, NC 28734-2612
Phone (828) 349-6804
Other names 1
- Ms. Katherine Marie Hall
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171016002262 | NC | Practitioner - Nurse Practitioner | 6709152929 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 207610 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Health Care LLC | 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.
-
- Clinical Medical Laboratory
- Conover, NC
- NPI 1871159145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1518485333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-1331",
"fax_number": "336-716-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 W WARD ST STE B",
"city": "ASHEBORO",
"state": "NC",
"postal_code": "27203",
"telephone_number": "336-702-1731",
"fax_number": "336-702-3014"
}
],
"practiceLocations": [
{
"address_1": "190 Riverview St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "NC",
"postal_code": "287342612",
"country_code": "US",
"telephone_number": "828-349-6804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 Riverview St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "NC",
"postal_code": "287342612",
"country_code": "US",
"telephone_number": "828-349-6804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUPPENBACH",
"first_name": "KATHERINE",
"middle_name": "HALL",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "207610",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5009791",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "207610",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "HALL",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Asheboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.