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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KATRINA BASORE CAA
NPI 1851232755
Anesthesiologist Assistant in Raleigh, NC

Active since April 03, 2026
4420 LAKE BOONE TRL, RALEIGH, NC 27607(919) 784-3100 Get Directions Write a Review

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

Record update history: Jul 10, 2026, Apr 3, 2026 (2 updates tracked since 2026).

About Katrina Basore Caa NPPES

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

KATRINA BASORE CAA (NPI 1851232755) is an individual anesthesiologist assistant in Raleigh, North Carolina, licensed in North Carolina (2000-00061) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1851232755
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKATRINA BASORECredential: CAA
Location Address4420 LAKE BOONE TRLRaleigh, NC 27607-7505
Mailing Address4420 Lake Boone TrlRaleigh, NC 27607-7505 · (919) 784-3100
Phone(919) 784-3100
Sole ProprietorNo
Enumeration DateApril 3, 2026
Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1851232755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in NC · 2000-00061
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
4420 LAKE BOONE TRL, Raleigh, NC 27607
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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.

NADER CYRUS EMAMI-KELISHADI PA
Physician Assistant
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (703) 585-0860
ERIC LINTON
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOSHUA DAVID FISHER FNP
Nurse Practitioner (Family)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
MALLORY WOLTERING RN
Registered Nurse (Critical Care Medicine)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3100
JOHN O COLLINS M.D.
Psychiatry & Neurology (Neurology)
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-7093
ERIN D RUSINEK PA-C
Physician Assistant
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818
DONNA RANSOM CRNA
Nurse Anesthetist, Certified Registered
4420 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 784-3034
JOELLEN C SPECA M.D.
Internal Medicine (Hematology & Oncology)
4420 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 784-6818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Basore's NPI number?

The NPI number for Katrina Basore is 1851232755. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Katrina Basore located?

Katrina Basore practices at 4420 Lake Boone Trl, Raleigh, NC 27607. The listed phone number is (919) 784-3100.

What is Katrina Basore's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

When was this NPI record last updated?

The NPPES record for Katrina Basore was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.