Active NPI
Skyler Parks Kearney, NP
- Gerontology Nurse Practitioner
- Goldsboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AG01220026
- Practice address
- 625 Country Day Rd
Goldsboro, NC 27530-8888 - Phone
- (919) 736-0767
- NPI assigned
- Jan 8, 2022
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AG01220026 | NC | Primary |
Addresses
Primary practice location
625 Country Day Rd
Goldsboro, NC 27530-8888
Mailing address
2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skearney785320@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
625 Country Day Rd
Goldsboro, NC 27530-8888
Phone (919) 731-4048
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG01220026 | NC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Gibbons Family Medicine | Past | Accepting new patients |
Locations
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
208 Cox Blvd
Ste 102
Goldsboro, NC 27534
Phone (919) 587-4081
625 Country Day Rd
Goldsboro, NC 27530
Phone (919) 731-4048
2607 Medical Office Pl
Ste A
Goldsboro, NC 27534
Phone (919) 739-9060
2600 US Highway 70 W
Goldsboro, NC 27530
Phone (919) 739-4808
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624
4680 US Highway 117 N
Pikeville, NC 27863
Phone (919) 587-3400
Organizations & group practices 3
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 UNC Family Medicine at Pittsboro
- Family Medicine Physician
- Pittsboro, NC
- NPI 1750704367
-
- General Practice Physician
- Morrisville, NC
- NPI 1558786830
-
- Family Medicine Physician
- Cary, NC
- NPI 1376553610
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Goldsboro, NC
- NPI 1558391391
-
dba UNC Health Wayne
- General Acute Care Hospital
- Goldsboro, NC
- NPI 1750353462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1821759135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 PERIMETER PARK DR STE 200",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 COUNTRY DAY RD",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275308888",
"telephone_number": "919-736-0767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "SKYLER",
"middle_name": "PARKS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-08",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "AG01220026",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skearney785320@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "625 Country Day Rd",
"city": "Goldsboro",
"state": "NC",
"country_code": "US",
"postal_code": "275308888",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.