Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Kelly Peniston, NP

Individual provider Nurse Practitioner · NPI 1346260254

Kathleen Kelly Peniston, NP is a Nurse Practitioner in Charlotte, North Carolina. Graduated from Vanderbilt University School of Medicine in 2000, 26 years ago. Practices with Carolinas Medical Center, a 1,062-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
26
Trained at
Vanderbilt University School of Medicine
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

501 Billingsley Rd Ste B
Charlotte, NC 28211-1009
Phone: (704) 444-2400
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 S Kings Dr, Charlotte, NC 28207-2134 — (704) 446-1255

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 950005 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 950005 (NC)

Record details

NPI number1346260254
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Carolinas Medical Center — 1062 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Charlotte