Individual provider Active NPI

Katherine Price Sutherland, FNP-C

  • Family Nurse Practitioner
  • Jacksonville, NC
National Provider Identifier
1720636038
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014159 Issued in NC
Practice address
114A Memorial Dr
Jacksonville, NC 28546-6328
Phone
(910) 353-0700
Fax
(910) 353-5305
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178159 VA
Family Nurse Practitioner 363LF0000X 5014159 NC Primary

Addresses

Primary practice location

114A Memorial Dr
Jacksonville, NC 28546-6328

Mailing address

PO Box 986513
Dept 100
Boston, MA 02298-6513
Phone (910) 219-8326

Other practice location 1

816 Independence Blvd Ste 100
Virginia Beach, VA 23455-6010
Phone (757) 363-6800

Other practice location 2

1024 First Colonial Rd
Virginia Beach, VA 23454-3074
Phone (757) 395-2500

Other names 1

  • Katherine Glynn Price Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420001805 NC Practitioner - Nurse Practitioner 5698107332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Children'S and Multispecialty Clinic, PAGroup PAC ID 6709968811, 21 clinicians

Practice addresses (Care Compare)

114 A Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5014159NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jacksonville Children'S and Multispecialty Clinic, PA CurrentSince Aug 1, 2023 Accepting new patients
Amm Healthcare, PA CurrentSince Jul 23, 2023 Accepting new patients
Urgent Care of Wallace, PLLC CurrentSince May 1, 2021 Accepting new patients
Family Care Clinic, P.a. Past Accepting new patients
Jacksonville Behavior and Mental Health PastSince Oct 6, 2019 Accepting new patients

Locations

118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

114A Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0700

120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976

112 Medical Village Dr
Ste G
Wallace, NC 28466
Phone (910) 285-0333

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1720636038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986513",
            "address_2": "DEPT 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986513",
            "telephone_number": "910-219-8326",
            "fax_number": "910-939-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114A MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466328",
            "telephone_number": "910-353-0700",
            "fax_number": "910-353-5305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "816 Independence Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556010",
            "country_code": "US",
            "telephone_number": "757-363-6800",
            "fax_number": "757-507-9023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1024 First Colonial Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543074",
            "country_code": "US",
            "telephone_number": "757-395-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "KATHERINE",
        "middle_name": "PRICE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "PRICE",
            "middle_name": "GLYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.