KATHY ANN LEVY GNP NPI 1174577092

NPI Information

NPI: 1174577092
Provider Name: KATHY ANN LEVY, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
3069 TRENWEST DR
STE 200
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 993-3146
Get Directions

Kathy Ann Levy, GNP is a gerontology nurse practitioner in Winston Salem, NC. Kathy Ann Levy, GNP NPI is 1174577092. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3069 TRENWEST DR
STE 200
WINSTON SALEM, NC
ZIP 27103-211
Phone: (336) 993-3146
Fax: (336) 992-3930

The NPI 1174577092 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 5/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	600128	NORTH CAROLINA	No
2	363LG0600X	Nurse Practitioner	Gerontology	52729	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	600128	OTHER	NORTH CAROLINA	MED LIC
2	S57393	MEDICARE UPIN	NORTH CAROLINA
3	2597384D	MEDICARE PIN	NORTH CAROLINA
4	ML0809600	OTHER	NORTH CAROLINA	DEA
5	1855N	OTHER	NORTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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