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

Mrs. Kathryn Sheets Boulineau, PA

Individual provider Surgical Physician Assistant · NPI 1982661450

Mrs. Kathryn Sheets Boulineau, PA is a Physician Assistant in Greenville, North Carolina. Qualified in 2005, 21 years ago. Practices with East Carolina University, a 498-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
21
Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

101 Heart Dr
Greenville, NC 27834-8982
Phone: (252) 744-4611
Fax: (252) 744-3201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-00317 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 0010-00317 (NC)

Record details

NPI number1982661450
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice East Carolina University — 498 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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