MARIA OBRAZTSOVA (NPI# 1053773812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053773812 |
| Entity Type | Individual |
| Full Name | MARIA OBRAZTSOVA |
| Credential | NP |
| Practice Address |
100 Medical Park Dr Ste 210 Concord NC 28025-2948 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044036100 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5008471 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 307 Yadkin St, Albemarle, NC 280013441 | 9803236180 | |
| 100 Medical Park Dr, Suite 210, Concord, NC 280252948 | 7044036100 |
| Street Address |
100 MEDICAL PARK DR STE 210 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882958 | Patrick Anonick | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2005-06-22 |
| 1538700620 | Ashley Stewart | Nurse Practitioner | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2019-10-01 |
| 1659858330 | Krista Diiorio | Nurse Practitioner | 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 | 2018-07-25 |
| 1255829768 | Jessica Beal | Physician Assistant | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2018-04-30 |
| 1093216244 | Chris Larck | Pharmacist | 100 Medical Park Dr, Concord, NC 28025-2948 | 2018-02-23 |
| 1164948022 | Kathleen Bloom | Nurse Practitioner | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2017-08-22 |
| 1043736713 | Lauren Cartwright | Physician Assistant | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2017-08-15 |
| 1013439892 | Brittany Dillon | Nurse Practitioner | 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 | 2017-07-12 |
| 1932650892 | Kevin Hixson | Physician Assistant | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2016-10-17 |
| 1891243929 | Scott Palmer | Nurse Practitioner | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2016-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355970 | Taquita Shanee Milner | Nurse Practitioner | 3116 Dylan Pl Nw, Concord, NC 28027-0769 | 2019-06-19 |
| 1083182992 | Katie Weatherman Tucker | Nurse Practitioner | 1085 Ne Gateway Ct Ne Ste 180, Concord, NC 28025-2407 | 2018-11-08 |
| 1174938799 | Altegra Health Connections, LLC | Nurse Practitioner | 9 Capitol St, Concord, NH 03301-6310 | 2014-06-23 |
| 1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
| 1982990560 | Rashida Petrovich | Nurse Practitioner | 2222 East St # 305, Concord, CA 94520-2066 | 2011-06-22 |
| 1386774545 | Deborah Ann Sampson | Nurse Practitioner | 60 Commerce St Suite 302, Concord Hospital Occupational Health, Concord, NH 03301-0000 | 2007-03-06 |
| 1164569307 | Bridget Mary Canty | Nurse Practitioner | 5299 Laurel Dr, Concord, CA 94521-1529 | 2007-01-30 |
| 1679610844 | Debra Lynn Knuckles | Nurse Practitioner | 855 Bradley St, Ste. A, Concord, NC 28025-2979 | 2007-01-30 |
| 1043375090 | Kimberly A Capello | Nurse Practitioner | 59 Old Road To 9 Acre Cor, Ste 1, Concord, MA 01742-3317 | 2006-12-27 |
| 1346253978 | My Linh Thi Waldrop | Nurse Practitioner | 9614 Camden Town Dr Nw, Concord, NC 28027-3332 | 2006-08-14 |
| Find all providers in CONCORD | ||||
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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.