Active NPI
Kathryn Jessica Hull Wood, MD
- Obstetrics & Gynecology Physician
- Charlotte, NC
National Provider Identifier
1609083849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2013-02511
- Practice address
- 13557 Steelecroft Pkwy Ste 2100
Charlotte, NC 28278-7559 - Phone
- (704) 384-7900
- Fax
- (704) 384-7907
- NPI assigned
- May 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2013-02511 | NC | Primary |
Addresses
Primary practice location
13557 Steelecroft Pkwy Ste 2100
Charlotte, NC 28278-7559
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA1108 | Medicaid | SC |
Other names 1
- Kathryn Jessica Hull
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khull116766@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-02511 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broadlawns Medical Center | Current | Accepting new patients | |
| Broadlawns Medical Center | Current | Accepting new patients |
Locations
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
Interoperability endpoints
- khull116766@direct.novanthealth.org
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.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
-
- Pharmacy
- Des Moines, IA
- NPI 1013197060
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1467447508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1609083849",
"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": "13557 STEELECROFT PKWY STE 2100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282787559",
"telephone_number": "704-384-7900",
"fax_number": "704-384-7907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL WOOD",
"first_name": "KATHRYN",
"middle_name": "JESSICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2020-10-25",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2013-02511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GA1108",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khull116766@direct.novanthealth.org",
"affiliation": "N",
"address_1": "13557 Steelecroft Pkwy Ste 2100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282787559",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "HULL",
"middle_name": "JESSICA",
"credential": "MD",
"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 Oct 25, 2020; 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.