Active NPI
Katherine Leigh Sooker, APRN
- Family Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1821685959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5017123
- Practice address
- 1309 Lees Chapel Rd
Greensboro, NC 27455-2601 - Phone
- (336) 800-8958
- Fax
- (336) 286-5583
- NPI assigned
- Dec 22, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11010759 | FL | |
| Family Nurse Practitioner | 363LF0000X | 5017123 | NC | Primary |
Addresses
Primary practice location
1309 Lees Chapel Rd
Greensboro, NC 27455-2601
Mailing address
1309 Lees Chapel Rd
Greensboro, NC 27455-2601
Phone (336) 800-8958
Other practice location 1
1001 Crystal Way Apt M
Delray Beach, FL 33444-1006
Phone (557) 703-7485
Other practice location 2
5503 S Congress Ave Ste 103
Atlantis, FL 33462-6614
Phone (561) 965-7228
Other practice location 3
800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (561) 955-7100
Other practice location 4
420 W Mountain St
Kernersville, NC 27284-2534
Phone (336) 993-1618
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11010759 | FL | MD | Family Nurse Practitioner |
| 5017123 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1821685959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 LEES CHAPEL RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552601",
"telephone_number": "336-800-8958",
"fax_number": "336-286-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 LEES CHAPEL RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552601",
"telephone_number": "336-800-8958",
"fax_number": "336-286-5583"
}
],
"practiceLocations": [
{
"address_1": "1001 Crystal Way Apt M",
"address_purpose": "LOCATION",
"city": "Delray Beach",
"state": "FL",
"postal_code": "334441006",
"country_code": "US",
"telephone_number": "557-703-7485",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5503 S Congress Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Atlantis",
"state": "FL",
"postal_code": "334626614",
"country_code": "US",
"telephone_number": "561-965-7228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Meadows Rd",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334862304",
"country_code": "US",
"telephone_number": "561-955-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 W Mountain St",
"address_purpose": "LOCATION",
"city": "Kernersville",
"state": "NC",
"postal_code": "272842534",
"country_code": "US",
"telephone_number": "336-993-1618",
"fax_number": "336-993-5512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOOKER",
"first_name": "KATHERINE",
"middle_name": "LEIGH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-22",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11010759",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5017123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.