Active NPI
Khadijia D Tribie, MD
- Pediatrics Physician
- Wilmington, NC
National Provider Identifier
1740290774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2006-01069
- Practice address
- 917 N 4TH St
Wilmington, NC 28401-3450 - Phone
- (910) 202-8656
- Fax
- (910) 202-8680
- NPI assigned
- Aug 9, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2006-01069 | NC | Primary |
Addresses
Primary practice location
917 N 4TH St
Wilmington, NC 28401-3450
Mailing address
925 4TH Street
New Hanover Community Health Center
Wilmington, NC 28401
Phone (910) 343-0270
Other practice location 1
925 N 4th St
Wilmington, NC 28401-3450
Phone (910) 343-0270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344018 | Medicaid | NC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006-01069 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hanover Community Health Center Incorporated | Past | Accepting new patients |
Interoperability endpoints
- ktribie1252589@direct.novanthealth.org
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 MedNorth Health Center
- Federally Qualified Health Center (FQHC)
- Wilmington, NC
- NPI 1912954090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1740290774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 4TH STREET",
"address_2": "NEW HANOVER COMMUNITY HEALTH CENTER",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28401",
"telephone_number": "910-343-0270",
"fax_number": "910-251-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 N 4TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284013450",
"telephone_number": "910-202-8656",
"fax_number": "910-202-8680"
}
],
"practiceLocations": [
{
"address_1": "925 N 4th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284013450",
"country_code": "US",
"telephone_number": "910-343-0270",
"fax_number": "910-251-1540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIBIE",
"first_name": "KHADIJIA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2006-01069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "344018",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Kayla Trevethan, LCSWA
- Hannah Christine Tria, P.A.-C
- Triad Behavioral Resources PC
- Triad Reference Laboratory, LLC
- Triangle Home Health Care, Inc
- Kathleen Ann Trickle, PSY.D.
- Julia Douglas Triggs, MD
- Trilogy Services, Inc.
- Amanda C Trimpey, M.D.
- Trinity Interactive Professional Services, LLC (Trinity Interactive Professional Service, LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.