KRISTINA HARRELL (NPI# 1003130055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003130055 |
| Entity Type | Individual |
| Full Name | KRISTINA HARRELL |
| Credential | MD |
| Practice Address |
1350 S Kings Dr Charlotte NC 28207-2134 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044461422 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
2016-01545 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 Blythe Blvd, Medical Center Plaza, Ste 601, Charlotte, NC 282035866 | 7043819900 | |
| 100 Medical Park Dr, Ste 310, Concord, NC 280252948 | 7044032660 |
| Street Address |
1350 S KINGS DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235132259 | John Mcnamara | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2005-05-23 |
| 1013545417 | Grant Blanchard | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-31 |
| 1992333884 | Bria Burris | Student in an Organized Health Care Education/Training Program | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-28 |
| 1427685668 | Kendall Parrott | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-26 |
| 1023645538 | Katherine Elizabeth Akeley | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-25 |
| 1386271898 | Anna Catherine Raines | Obstetrics & Gynecology | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2020-03-25 |
| 1932752409 | Laura Mcdowell | Nurse Practitioner | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-07-23 |
| 1992358816 | Carley Chardukian | Nurse Practitioner | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-07-19 |
| 1174175202 | Lyndsay Clark | Physician Assistant | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-07-09 |
| 1508420910 | Catherine Harte O'grady | Social Worker | 1350 S Kings Dr, Charlotte, NC 28207-2134 | 2019-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528467586 | The Presbyterian Hospital | Pediatrics | 301 Hawthorne Ln, Charlotte, NC 28204-2450 | 2014-08-15 |
| 1457695454 | Carolinas Medical Center | Pediatrics | 1001 Blythe Blvd, Ste 601a, Charlotte, NC 28203-5866 | 2012-11-15 |
| 1487940375 | Erin Trovillion | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2011-06-20 |
| 1902084403 | Michael Kent | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2008-02-06 |
| 1407032469 | Jeffrey Huo | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2008-01-21 |
| 1922204718 | David Gass | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-06-27 |
| 1689881849 | Philip Roehrs | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-05-17 |
| 1093921744 | Jessica Bell | Pediatrics | 301 Hawthorne Ln, Suite 100, Charlotte, NC 28204-2450 | 2007-05-16 |
| 1821217605 | Javier Oesterheld | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-04-24 |
| 1306063128 | Joel Kaplan | Pediatrics | 1001 Blythe Blvd, Medical Center Plaza Ste 601, Charlotte, NC 28203-5866 | 2007-04-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.