KENYON DRAPER (NPI# 1144573197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144573197 |
| Entity Type | Individual |
| Full Name | KENYON DRAPER |
| Credential | NP |
| Practice Address |
101 E Wt Harris Blvd Ste 5002 Charlotte NC 28262-3485 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7048017310 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
5005928 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 E W T Harris Blvd, Ste 5401, Charlotte, NC 282623485 | 7048639700 | |
| 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 282773372 | 7046672650 | |
| 705 Griffith St, Ste 100, Davidson, NC 280369304 | 7048017350 | |
| 1585 Forney Creek Pkwy, Denver, NC 280379514 | 7048017320 | |
| 16455 Statesville Rd, Ste 490, Huntersville, NC 280787135 | 7048017340 | |
| 1470 E Gaston St, Suite #300 Lincolnton Medical Group, Lincolnton, NC 280924431 | 7047357474 |
| Street Address |
101 E WT HARRIS BLVD STE 5002 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962711 | Nancy Colette Montz | Specialist | 101 E Wt Harris Blvd, Suite 5002, Charlotte, NC 28262-3485 | 2005-06-15 |
| 1275099152 | Daina Worcester | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2019-02-15 |
| 1083197446 | Anna Caldwell | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485 | 2018-09-12 |
| 1609360239 | Tyesha Harvey | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2018-06-18 |
| 1366945990 | Erika Fink | Nurse Practitioner | 101 E Wt Harris Blvd, Ste 5002, Charlotte, NC 28262-3485 | 2018-03-09 |
| 1053813105 | Jacqueline Wichern | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485 | 2018-03-05 |
| 1215456546 | Paige Hayes | Physician Assistant | 101 E Wt Harris Blvd, Building 1000 Suite 1110, Charlotte, NC 28262-3485 | 2017-09-19 |
| 1194267815 | Jordan Brittle | Physician Assistant | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2016-11-11 |
| 1538610589 | Chadwick Smith | Nurse Practitioner | 101 E Wt Harris Blvd, Building 1000 Ste 1110, Charlotte, NC 28262-3485 | 2016-10-14 |
| 1932658697 | Jonathan Lowe | Nurse Practitioner | 101 E Wt Harris Blvd, Bldg 5000 Suite #5101, Charlotte, NC 28262-3485 | 2016-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975417 | Marguerite Swick | Nurse Practitioner | 15900 Riverpointe Dr, Charlotte, NC 28278-8886 | 2020-09-08 |
| 1134730864 | Blueh Iv Health Services Pllc | Nurse Practitioner | 9625 David Taylor Dr, Charlotte, NC 28262-2362 | 2020-08-14 |
| 1558922096 | Nateka Austin | Nurse Practitioner | 5300 Fair Wind Ln, Charlotte, NC 28212-2223 | 2019-06-25 |
| 1073957205 | Gabrielle Picard | Nurse Practitioner | 228 Westinghouse Blvd, 104, Charlotte, NC 28273-6230 | 2013-04-18 |
| 1326204280 | Nicole M Bentivegna | Nurse Practitioner | 3125 Springbank Ln Ste A, Charlotte, NC 28226-3379 | 2008-07-31 |
| 1093831307 | David Wayne Unkle | Nurse Practitioner | 1523 Elizabeth Ave Ste 200, Charlotte, NC 28204-2794 | 2007-03-21 |
| 1578544409 | Mary Motley Hatchett | Nurse Practitioner | 10926 David Taylor Dr Ste 120s, Charlotte, NC 28262-1293 | 2005-11-08 |
| 1942819594 | Nigella Siegl | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-07-29 |
| 1659852028 | Corinne Arlene Worth | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2018-08-23 |
| 1932686128 | Misty Moore Reagan | Nurse Practitioner | 10130 Perimeter Pkwy Ste 200, Charlotte, NC 28216 | 2018-07-20 |
| Find all providers in CHARLOTTE | ||||
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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.