Individual provider Active NPI

Kathryn Baglini, NP-C

  • Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1790134534
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5014347 Issued in NC
Practice address
674 Merrimon Ave
Asheville, NC 28804-3586
Phone
(828) 348-7418
Fax
(828) 348-7419
NPI assigned
Jun 10, 2016
Last updated
May 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-135731 AL
Nurse Practitioner 363L00000X 5014347 NC Primary

Addresses

Primary practice location

674 Merrimon Ave
Asheville, NC 28804-3586

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other identifiers 1

IdentifierTypeStateIssuer
1790134534MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160726000355 AL Practitioner - Nurse Practitioner 2567755713 Reassigns benefits to 2 organizations
I20210924002414 NC Practitioner - Nurse Practitioner 2567755713 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC CurrentSince Apr 15, 2021 Accepting new patients
Trinity Emergency Physicians LLC CurrentSince Jul 23, 2017 Accepting new patients
Trinity Emergency Physicians, LLC CurrentSince Jul 23, 2017 Accepting new patients
American Family Care, LLC CurrentSince Apr 15, 2021 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC CurrentSince Aug 1, 2021 Accepting new patients
Carolina Medicorp Enterprises Inc Nurse Practitioner PastSince Jan 1, 2023 Accepting new patients
Carolina Medicorp Enterprises LLC PastSince Jan 1, 2023 Accepting new patients

Locations

800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000

1680 Montgomery Hwy
Hoover, AL 35216
Phone (205) 979-0888

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

Interoperability endpoints

  • Direct secure messaging: kbaglini1125340@direct.novanthealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1790134534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 MERRIMON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288043586",
            "telephone_number": "828-348-7418",
            "fax_number": "828-348-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLINI",
        "first_name": "KATHRYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-135731",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5014347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790134534",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.