Individual provider Active NPI

Kelly Treffinger, NP

  • Nurse Practitioner
  • Shallotte, NC
National Provider Identifier
1518733724
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TREF-3B9PX Issued in NC
Practice address
2986 Old Berwick St SW
Shallotte, NC 28470-6139
Phone
(910) 478-7481
NPI assigned
Nov 29, 2023
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X TREF-3B9PX NC Primary

Addresses

Primary practice location

2986 Old Berwick St SW
Shallotte, NC 28470-6139

Mailing address

2298 Ocean Hwy W
Supply, NC 28462-4024
Phone (910) 755-3682

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TREF-3B9PXNCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1518733724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2298 OCEAN HWY W",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624024",
            "telephone_number": "910-755-3682",
            "fax_number": "910-755-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 OLD BERWICK ST SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284706139",
            "telephone_number": "910-478-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREFFINGER",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "TREF-3B9PX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.