Active NPI
Kathleen Barkley Stutesman, NP
- Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5015423
- Practice address
- 6324 Fairview Rd Ste 201
Charlotte, NC 28210-4278 - Phone
- (704) 384-0588
- Fax
- (704) 384-0580
- NPI assigned
- Nov 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | BARK-WGX38 | NC | |
| Nurse Practitioner | 363L00000X | 5015423 | NC | Primary |
Addresses
Primary practice location
6324 Fairview Rd Ste 201
Charlotte, NC 28210-4278
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other practice location 1
3123 N Davidson St Ste 311
Charlotte, NC 28205-1163
Phone (919) 621-8927
Other names 1
- Kathleen Michelle Barkley
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 |
|---|---|---|---|---|
| I20220107001380 | NC | Practitioner - Nurse Practitioner | 5991196685 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
6324 Fairview Rd
Suite 201
Charlotte, NC 28210-4278
Phone (704) 384-0588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BARK-WGX38 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000
6324 Fairview Rd
Ste 201
Charlotte, NC 28210
Phone (704) 384-0588
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- kbarkley447978@direct.novanthealth.org
Organizations & group practices 17
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.
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- Neurology with Special Qualifications in Child Neurology Physician
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- NPI 1366409492
NC
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- Foot & Ankle Surgery Podiatrist
- Thomasville, NC
- NPI 1235715582
-
- Foot Surgery Podiatrist
- Clemmons, NC
- NPI 1295110906
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
- Foot Surgery Podiatrist
- Kernersville, NC
- NPI 1386029254
-
- Primary Podiatric Medicine Podiatrist
- Winston Salem, NC
- NPI 1427398023
-
- Neurological Surgery Physician
- Winston Salem, NC
- NPI 1497080006
-
- Family Medicine Physician
- Wake Forest, NC
- NPI 1659571768
-
- Family Medicine Physician
- Salisbury, NC
- NPI 1750534038
-
- Foot Surgery Podiatrist
- Winston Salem, NC
- NPI 1851776728
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1891764320
-
- Family Medicine Physician
- Indian Land, SC
- NPI 1245335421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1558027748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6324 FAIRVIEW RD STE 201",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282104278",
"telephone_number": "704-384-0588",
"fax_number": "704-384-0580"
}
],
"practiceLocations": [
{
"address_1": "3123 N Davidson St Ste 311",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282051163",
"country_code": "US",
"telephone_number": "919-621-8927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STUTESMAN",
"first_name": "KATHLEEN",
"middle_name": "BARKLEY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-11",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "BARK-WGX38",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5015423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "BARKLEY",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.