Individual provider Active NPI

Katherine Huey Nicholas, CPNP-PC

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1598545816
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5018939 Issued in NC
Practice address
720 N 3Rd St Ste 401
Wilmington, NC 28401-3474
Phone
(910) 769-9126
Fax
(910) 769-9169
NPI assigned
Oct 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5018939 NC Primary
Pediatric Nurse Practitioner 363LP0200X 5018939 NC
Pediatric Nurse Practitioner 363LP0200X HUEY-G1RP3 NC

Addresses

Primary practice location

720 N 3Rd St Ste 401
Wilmington, NC 28401-3474

Mailing address

720 N 3Rd St Ste 401
Wilmington, NC 28401-3474
Phone (910) 769-9126

Other practice location 1

201 Village Rd
Shallotte, NC 28470-4441
Phone (910) 754-4097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

720 N 3Rd St
Suite 401
Wilmington, NC 28401-3474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5018939NCMDPediatric Nurse Practitioner
HUEY-G1RP3NCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Ties of Brunswick, LLC CurrentSince Jun 9, 2026 Accepting new patients
Kidzcare Pediatrics, PC Past Accepting new patients

Locations

201 Village Rd
Shallotte, NC 28470
Phone (910) 754-4097

720 N 3rd St
Ste 401
Wilmington, NC 28401
Phone (910) 769-9126

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1598545816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N 3RD ST STE 401",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013474",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N 3RD ST STE 401",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013474",
            "telephone_number": "910-769-9126",
            "fax_number": "910-769-9169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Village Rd",
            "address_purpose": "LOCATION",
            "city": "Shallotte",
            "state": "NC",
            "postal_code": "284704441",
            "country_code": "US",
            "telephone_number": "910-754-4097",
            "fax_number": "910-754-4979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "KATHERINE",
        "middle_name": "HUEY",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5018939",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5018939",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "HUEY-G1RP3",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.