Individual provider Active NPI

Mary Kathryn Alonso, CPNP-PC, PMHNP-BC

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1982290953
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5024530 Issued in NC
Practice address
2200 Cloverdale Ave Ste 410
Winston Salem, NC 27103-2300
Phone
(336) 713-4500
NPI assigned
Dec 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5024530 NC
Nurse Practitioner 363L00000X 3015577 KY
Pediatric Nurse Practitioner 363LP0200X 5024530 NC
Nurse Practitioner 363L00000X 5024530 NC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3015577 KY
Pediatric Nurse Practitioner 363LP0200X 3015577 KY

Addresses

Primary practice location

2200 Cloverdale Ave Ste 410
Winston Salem, NC 27103-2300

Mailing address

2200 Cloverdale Ave Ste 410
Winston Salem, NC 27103-2300
Phone (336) 713-4500

Other names 1

  • Katie Alonso Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210128002693 KY Practitioner - Nurse Practitioner 1658785803 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Childrens Medical Group, LLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Norton Children'S Medical Group, LLC Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Norton Children'S Medical Group, LLC Nurse Practitioner Current Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

411 E Chestnut St
Ste 205
Louisville, KY 40202

411 E Chestnut St
Louisville, KY 40202
Phone (502) 588-2330

4100 Springdale Rd
Louisville, KY 40241

411 E Chestnut St
#4B
Louisville, KY 40202
Phone (502) 588-3600

Interoperability endpoints

  • Direct secure messaging: malonso203412@direct.nortonhealthcare.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1982290953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CLOVERDALE AVE STE 410",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032300",
            "telephone_number": "336-713-4500",
            "fax_number": "336-713-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CLOVERDALE AVE STE 410",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032300",
            "telephone_number": "336-713-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "MARY",
        "middle_name": "KATHRYN",
        "credential": "CPNP-PC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5024530",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015577",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5024530",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5024530",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3015577",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KY",
            "license": "3015577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "ALONSO",
            "credential": "CPNP-PC, PMHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.