KATHERINE ANNE TREACY DO
NPI 1750140992
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Q: What is Katherine Treacy's NPI number?

The NPI number for Katherine Treacy is 1750140992. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Katherine Treacy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Treacy was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 18, 2024PECOS Enrolled

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-3780(910) 615-9907 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, May 19, 2025 (2 updates tracked since 2025).

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About Katherine Anne Treacy Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE ANNE TREACY DO (NPI 1750140992) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750140992

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATHERINE ANNE TREACYCredential: DO

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-3780 · Fax (910) 615-9907

Phone(910) 615-3780

Fax(910) 615-9907

Sole ProprietorYes

Enumeration DateMarch 18, 2024

Last NPPES UpdateJune 10, 20252 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1750140992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1638 OWEN DR, Fayetteville, NC 28304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Anne Treacy Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER MCPHAIL COAXUM NP

Nurse Practitioner (Family)