Active NPI
Kourtney McNeil-Conwell
- Licensed Practical Nurse
- Pinehurst, NC
National Provider Identifier
1629936471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 87096
- Practice address
- 20 Page Dr
Pinehurst, NC 28374-8847 - Phone
- (910) 235-9090
- NPI assigned
- Jan 12, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 87096 | NC | Primary |
Addresses
Primary practice location
20 Page Dr
Pinehurst, NC 28374-8847
Mailing address
20 Page Dr
Pinehurst, NC 28374-8847
Phone (910) 235-9090
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87096 | NC | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ats of North Carolina, LLC | Multi-Specialty | 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 and National Provider Directory roles.
-
dba Carolina Treatment Center of Pinehurst
- Methadone Clinic
- Pinehurst, NC
- NPI 1649310152
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1629936471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PAGE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748847",
"telephone_number": "910-235-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 PAGE DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748847",
"telephone_number": "910-235-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEIL-CONWELL",
"first_name": "KOURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "NC",
"license": "87096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
- Anne Coburn McLaughlin
- Kalani McLean
- Nicole Sarah McMahon, M.D.
- Patricia Ann McMillian
- Holly McNally, NP-C
- Aaliyah Latrice McNeill, RBT
- Ashley McNeill
- MCPC-10, LLC (Firsthealth Cardiovascular & Thoracic Services)
- MCPC-11, LLC (FirstHealth Behavioral Services)
- MCPC-12, LLC (FirstHealth Urogynecology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.