KELLY YOO (NPI# 1063049559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063049559 |
| Entity Type | Individual |
| Full Name | KELLY YOO |
| Practice Address |
16325 Northcross Dr Ste F Huntersville NC 28078-5044 |
| Practice Telephone | 7042374240 |
| Mailing Telephone | 7042374240 |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | NC | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16325 NORTHCROSS DR STE F |
| City | HUNTERSVILLE |
| State | NC |
| Zip Code | 28078-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203479 | Keya Shanae Dunn | Counselor | 16325 Northcross Dr Ste F, Huntersville, NC 28078-5044 | 2019-06-11 |
| 1255955241 | Deborah V Grey | Counselor | 16325 Northcross Dr Ste F, Huntersville, NC 28078-5044 | 2020-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
| 1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
| 1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
| 1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
| 1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
| 1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
| 1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
| 1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
| 1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
| 1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
| Find all providers in zip 28078 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275067233 | Emily Cerniglia | Physician Assistant | 9801 Kincey Ave Ste 145, Huntersville, NC 28078-3109 | 2017-04-17 |
| 1922350073 | Shane R O'neil | Physician Assistant | 14330 Oakhill Park Ln Ste 135, Huntersville, NC 28078-3409 | 2012-10-12 |
| 1407107501 | Stephanie Buckley Stout | Physician Assistant | 10305 Hamptons Park Dr, Suite 201, Huntersville, NC 28078-7217 | 2012-09-28 |
| 1275857583 | Dorothy Elizabeth Starr | Physician Assistant | 6708 Olmsford Dr, Huntersville, NC 28078-6454 | 2010-03-16 |
| 1821250671 | Erin Wagner | Physician Assistant | 9121 Sam Furr Rd Ste 108, Huntersville, NC 28078-8235 | 2008-07-01 |
| 1578768578 | Jennifer Mae Miller | Physician Assistant | 14921 Stonegreen Ln, Huntersville, NC 28078-9784 | 2007-06-19 |
| 1477582807 | Xavier Alfred Harrison | Physician Assistant | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2006-06-30 |
| 1427098987 | Lisa Boyd | Physician Assistant | 9735 Kincey Ave Ste 100, Huntersville, NC 28078-9120 | 2006-06-06 |
| 1396709564 | Korie Lambert | Physician Assistant | 14330 Oakhill Park Ln Ste 200b, Huntersville, NC 28078-3407 | 2006-04-14 |
| 1417589318 | Caroline Jane Heys | Physician Assistant | 10030 Gilead Rd Ste 290, Huntersville, NC 28078-7545 | 2020-02-08 |
| Find all providers in HUNTERSVILLE | ||||
| City | HUNTERSVILLE |
| Zip Code | 28078 |
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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.