Individual provider Active NPI

Katherine Leigh Sooker, APRN

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1821685959
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017123 Issued in NC
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

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
APRN11010759FLMDFamily Nurse Practitioner
5017123NCMDFamily 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.

Verify at the official NPI Registry.