Individual provider Active NPI

Katherine Sawyer Mann, FAMILY NURSE PRACTIT

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1992924310
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200612 Issued in NC
Practice address
1410 Commonwealth Dr Ste 100
Wilmington, NC 28403-0314
Phone
(910) 679-4784
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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 086857 NC
Family Nurse Practitioner 363LF0000X 200612 NC Primary

Addresses

Primary practice location

1410 Commonwealth Dr Ste 100
Wilmington, NC 28403-0314

Mailing address

5300 Orton Point Rd
Wilmington, NC 28403-4088
Phone (910) 612-8066

Other names 1

  • Ms. Katherine Sawyer Mann Professional name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
086857NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Patient Centered Care, PLLC Nurse Practitioner Past Accepting new patients
Wilmington Proactive Medicine, PA PastSince Mar 26, 2013 Accepting new patients

Organizations & group practices 2

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1992924310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ORTON POINT RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034088",
            "telephone_number": "910-612-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 COMMONWEALTH DR STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284030314",
            "telephone_number": "910-679-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "KATHERINE",
        "middle_name": "SAWYER",
        "name_prefix": "Ms.",
        "credential": "FAMILY NURSE PRACTIT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "086857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "200612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "MANN",
            "middle_name": "SAWYER",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.