MRS. ALICJA ERAZO SUNDBLADE (NPI# 1184059958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184059958 |
| Entity Type | Individual |
| Full Name | MRS. ALICJA ERAZO SUNDBLADE |
| Credential | FNP-C |
| Practice Address |
1918 Randolph Rd Suite 350 Charlotte NC 28207-1100 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043841750 |
| Mailing Telephone | 7043847840 |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 229325 | NC | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5006468 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1918 RANDOLPH RD SUITE 350 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660625 | Christopher John Danner | Specialist | 1918 Randolph Rd, Ste. 300, Charlotte, NC 28207-1100 | 2005-06-23 |
| 1942745807 | Novant Medical Group, Inc | Psychiatry & Neurology | 1918 Randolph Rd, Suite 400, Charlotte, NC 28207-1100 | 2017-01-03 |
| 1659727881 | Katherine Mcclure | Physician Assistant | 1918 Randolph Rd, Suite 400, Charlotte, NC 28207-1100 | 2016-05-06 |
| 1467810531 | Kristina Hendley Sapel | Physician Assistant | 1918 Randolph Rd, Suite 550, Charlotte, NC 28207-1100 | 2016-02-04 |
| 1376910877 | Elaine Mejia | Physician Assistant | 1918 Randolph Rd, Suite 220, Charlotte, NC 28207-1100 | 2015-09-01 |
| 1437552114 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1918 Randolph Rd, Suite 275-a, Charlotte, NC 28207-1100 | 2014-10-08 |
| 1245630854 | Mary Meredith Gillis | Psychologist | 1918 Randolph Rd, Suite 400, Charlotte, NC 28207-1100 | 2014-09-02 |
| 1093136939 | Amy Vischetti Moore | Physician Assistant | 1918 Randolph Rd, Ste. 580, Charlotte, NC 28207-1100 | 2013-12-19 |
| 1962831651 | Candice Halle Kessler | Nurse Practitioner | 1918 Randolph Rd, Suite 670, Charlotte, NC 28207-1100 | 2013-11-04 |
| 1710228077 | Novant Medical Group Inc | Obstetrics & Gynecology | 1918 Randolph Rd, Suite 300, Charlotte, NC 28207-1100 | 2013-03-12 |
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1992312433 | Jean L. Caroline Clippard | Nurse Practitioner | 7149 Wessynton Dr, Charlotte, NC 28226-7548 | 2020-09-29 |
| 1790393676 | Alana Weldon | Nurse Practitioner | 10042 Park Cedar Dr, Charlotte, NC 28210-8916 | 2020-07-16 |
| 1114541455 | Kendra Jackson | Nurse Practitioner | 2809 Coltsgate Rd Ste 100, Charlotte, NC 28211-5583 | 2020-06-02 |
| 1740809599 | Nina Cherry Arnold | Nurse Practitioner | 8914 Cotton Press Rd, Charlotte, NC 28277-6676 | 2020-04-13 |
| 1619509197 | Clinica San Antonio Pllc | Nurse Practitioner | 416 Mccullough Dr Ste 110, Charlotte, NC 28262-4387 | 2020-02-12 |
| 1720626773 | Grace Barrosa Genetiano | Nurse Practitioner | 2503 Roswell Ave Unit 507, Charlotte, NC 28209-1685 | 2019-12-19 |
| 1376181081 | Crystal Delgado Calayag Frantilla | Nurse Practitioner | 4206 Craig Ave, Charlotte, NC 28211-3110 | 2019-12-12 |
| 1962059428 | Jerome Virgil Whitlow II | Nurse Practitioner | 6523 Dillard Ridge Dr, Charlotte, NC 28216-8845 | 2019-08-20 |
| 1053978213 | Katie Lynn Sass | Nurse Practitioner | 7004 Smith Corners Blvd Ste A, Charlotte, NC 28269-3827 | 2019-05-23 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on MRS. ALICJA ERAZO SUNDBLADE.
| 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.