Kathleen Rose Nissel, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

129935 Issued in NC

Practice address

810 Fairgrove Church Rd
Hickory, NC 28602-9617

Phone

(828) 465-7674

Fax

(828) 465-7905

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.nissel@cvmg.eclinicaldirectplus.com

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.

• Catawba Valley Medical Group, Inc

  • Family Medicine Physician
  • Catawba, NC
  • NPI 1790062362
  Medicare reassignment NPD
• Catawba Valley Medical Group Inc

  • Ambulatory Surgical Clinic/Center
  • Hickory, NC
  • NPI 1659267359
  NPD
• Catawba Valley Medical Group, Inc

  • Family Medicine Physician
  • Hickory, NC
  • NPI 1083039176
  NPD

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1720047756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 FAIRGROVE CHURCH ROAD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023067",
            "telephone_number": "828-465-7674",
            "fax_number": "828-465-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 FAIRGROVE CHURCH RD",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286029617",
            "telephone_number": "828-465-7674",
            "fax_number": "828-465-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEL",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "129935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jones Nichols, MA, CCC-SLP
• Michael Vaughn Nichols, LMFT
• Denise Niehues, PA
• Dena Marie Nigrelli, LPC
• Nadia Nikoueiha, DPM
• No Pelvis Left Behind, LLC
• Jordan Grace Noack
• William Carl Noble, CRNA
• Cara Reynolds Noblitt, LCSW
• Adrienne Nolan, PT

• Family Nurse Practitioner in Hickory, NC
• Providers in Hickory, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.