Kavonne Y Primos, RN

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

0001197695 Issued in VA

Practice address

C-1722 Tagatay Drive
Fort Liberty, NC 28310-0001

Phone

(910) 907-7736

NPI assigned

Jan 28, 2025

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1720891526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3429 BURBERRY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283066204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C-1722 TAGATAY DRIVE",
            "city": "FORT LIBERTY",
            "state": "NC",
            "postal_code": "283100001",
            "telephone_number": "910-907-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMOS",
        "first_name": "KAVONNE",
        "middle_name": "Y",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "0001197695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Plunkett
• Vivien D Porter, MSW, LCSW, LCAS
• Kelly Marie Powell, MSW
• Andrea Pratt, RN
• William Price, PA-C
• Alexandra Proctor, MD
• Carlton Trent Pyant, PH.D.
• Linzi Ralph, DMD
• Kyle Arthur Ramsey, PTA
• Sean Michael Robert Ramsey, DO

• Case Management Registered Nurse in Fort Liberty, NC
• Providers in Fort Liberty, NC by specialty
• Case Management Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.