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

Kimberley Koontz, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1114560794

Kimberley Koontz, PMHNP is a Psychiatric/Mental Health Nurse Practitioner in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

3303 Latrobe Dr
Charlotte, NC 28211-4851
Phone: (704) 362-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 5012464 (NC)

Record details

NPI number1114560794
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedOctober 25, 2019
Last updated in NPPESOctober 29, 2019

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