Active NPI
Cathryn Dunty, PA
- Women's Health Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1801120050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 001003316
- Practice address
- 1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350 - Phone
- (910) 452-3666
- Fax
- (910) 937-0930
- NPI assigned
- Sep 21, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-01330 | KS | |
| Women's Health Nurse Practitioner | 363LW0102X | 001003316 | NC | Primary |
Addresses
Primary practice location
1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350
Mailing address
1814 New Hanover Medical Park Dr
Wilmington, NC 28403-5350
Phone (910) 452-3666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12032896 | Other | KS | CAQH |
| 100212200B | Medicaid | KS |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-01330 | KS | MD | Medical Physician Assistant |
| 001003316 | NC | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1801120050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1814 NEW HANOVER MEDICAL PARK DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035350",
"telephone_number": "910-452-3666",
"fax_number": "910-937-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 NEW HANOVER MEDICAL PARK DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035350",
"telephone_number": "910-452-3666",
"fax_number": "910-937-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNTY",
"first_name": "CATHRYN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-21",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "15-01330",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "001003316",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12032896",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100212200B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.