Individual provider Active NPI

Kathryn Carter, FNP-BC

  • Family Nurse Practitioner
  • Elizabethtown, NC
National Provider Identifier
1861264897
Registry record updated Sep 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019051 Issued in NC
Practice address
300A E McKay St
Elizabethtown, NC 28337-9037
Phone
(910) 862-5500
Fax
(910) 862-5501
NPI assigned
Oct 24, 2023
Last updated
Sep 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5019051 NC
Family Nurse Practitioner 363LF0000X 5019051 NC Primary

Addresses

Primary practice location

300A E McKay St
Elizabethtown, NC 28337-9037

Mailing address

PO Box 517
Elizabethtown, NC 28337-0517
Phone (910) 862-5500

Other practice location 1

273 White Lake Dr
Elizabethtown, NC 28337
Phone (910) 862-1265

Other practice location 2

107 E Dunham St
Elizabethtown, NC 28337
Phone (910) 862-2122

Other practice location 3

6201 Raeford Rd
Fayetteville, NC 28304-2425
Phone (910) 609-3780

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240218000064 NC Practitioner - Nurse Practitioner 3779927769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bladen Healthcare LLCGroup PAC ID 6800967969, 41 clinicians

Practice addresses (Care Compare)

300 A E McKay St
Elizabethtown, NC 28337-9037
Phone (910) 862-6672

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5019051NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Current Accepting new patients
Bladen Healthcare LLC CurrentSince Jan 15, 2024 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Nov 3, 2025 Accepting new patients
Bladen Healthcare LLC CurrentSince Jan 15, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Nov 3, 2025 Accepting new patients
Bladen Medical Associates PastSince Oct 29, 2023 Accepting new patients
Bladen Healthcare, LLC Past Accepting new patients

Locations

107 E Dunham St
Elizabethtown, NC 28337
Phone (910) 615-3200

273 White Lake Dr
Elizabethtown, NC 28337
Phone (910) 862-1265

300 E McKay St
#F
Elizabethtown, NC 28337
Phone (910) 862-6672

300A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

6201 Raeford Rd
Fayetteville, NC 28304
Phone (910) 486-7777

Interoperability endpoints

  • Direct secure messaging: kcarter13825@capefearvalley.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757116800000",
    "number": "1861264897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 517",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283370517",
            "telephone_number": "910-862-5500",
            "fax_number": "910-862-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300A E MCKAY ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379037",
            "telephone_number": "910-862-5500",
            "fax_number": "910-862-5501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "273 White Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "28337",
            "country_code": "US",
            "telephone_number": "910-862-1265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 E Dunham St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "28337",
            "country_code": "US",
            "telephone_number": "910-862-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Raeford Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283042425",
            "country_code": "US",
            "telephone_number": "910-609-3780",
            "fax_number": "910-615-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KATHRYN",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2025-09-06",
        "certification_date": "2025-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5019051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NC

Sources for this page

Verify at the official NPI Registry.