Katelyn Maglionico

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5022463 Issued in NC

Practice address

451 Ruin Creek Rd
Henderson, NC 27536-2878

Phone

(252) 492-9565

NPI assigned

Jan 10, 2025

Last updated

Aug 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: katelyn.maglionico.p1@direct.ncpedsassociates.nextgenshare.com

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1871303917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 GINGER HILL LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "252-492-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIONICO",
        "first_name": "KATELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5022463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Thomas Lovings III, PARAMEDIC
• LST Collections LLC
• Chad Garett Lubecki, DMD
• David Adam Mack, M.D.
• Takerah J Macon
• Kevin James Maltais, CRNA
• Maria Parham Anesthesia & Physiatry Center Inc. (Kerr Lake Orthopaedics)
• Maria Parham Anesthesia and Physiatry Center Inc (Dba Northern Carolina Cardiology)
• Maria Parham Anesthesia and Physiatry Center Inc (DBA Northern Carolina Surgical Associates)
• Maria Parham Anesthesia and Physiatry Center, Inc

• Pediatric Nurse Practitioner in Henderson, NC
• Providers in Henderson, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.