Individual provider Active NPI

Kathryn Fansler, RN

  • High-Risk Obstetric Registered Nurse
  • Fayetteville, NC
National Provider Identifier
1831422146
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
High-Risk Obstetric Registered NurseTaxonomy code 163WX0002X
License
228260 Issued in NC
Practice address
2029 Valleygate Dr Ste 101
Fayetteville, NC 28304-3688
Phone
(910) 323-2103
Fax
(910) 323-2219
NPI assigned
Sep 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 228260 NC
High-Risk Obstetric Registered Nurse 163WX0002X 228260 NC Primary

Addresses

Primary practice location

2029 Valleygate Dr Ste 101
Fayetteville, NC 28304-3688

Mailing address

2029 Valleygate Dr Ste 101
Fayetteville, NC 28304-3688
Phone (910) 323-2103

Other identifiers 1

IdentifierTypeStateIssuer
228260OtherNCNORTH CAROLINA BOARD OF NURSING

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
228260NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1253232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1831422146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 VALLEYGATE DR STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-323-2103",
            "fax_number": "910-323-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 VALLEYGATE DR STE 101",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043688",
            "telephone_number": "910-323-2103",
            "fax_number": "910-323-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANSLER",
        "first_name": "KATHRYN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-18",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "228260",
            "primary": false
        },
        {
            "code": "163WX0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, High-Risk",
            "state": "NC",
            "license": "228260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF NURSING",
            "identifier": "228260",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2009; 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.