CASEY KENYON MAHLE (NPI# 1508155169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508155169 |
| Entity Type | Individual |
| Full Name | CASEY KENYON MAHLE |
| Credential | CPNP-PC |
| Practice Address |
114 Kinderton Blvd Advance NC 27006-7302 |
| Mailing Address |
1701 Westchester Dr Suite 850 High Point NC 27262-7008 |
| Practice Telephone | 3369989742 |
| Practice Fax Number | 3369989410 |
| Mailing Telephone | 3368022400 |
| Mailing Fax Number | 3368022536 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2015-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
5007441 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
12286-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
114 KINDERTON BLVD |
| City | ADVANCE |
| State | NC |
| Zip Code | 27006-7302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871569046 | John H Myracle | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2006-02-27 |
| 1639525199 | Chelsey Pait Beasley | Nurse Practitioner | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2016-05-13 |
| 1407291107 | Cornerstone Health Care, Pa | Psychologist | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2013-05-08 |
| 1801187059 | Kelly Jean Duffy | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2011-04-22 |
| 1205074333 | Christian Connor Hall | Nurse Practitioner | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2009-01-27 |
| 1124265236 | Cornerstone Health Care, LLC | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2009-01-12 |
| 1609972975 | Susan Yurgel Hunsinger | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2006-09-15 |
| 1972565661 | Kathy Lynn Gross | Pediatrics | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2006-04-06 |
| 1760443378 | Karen Hill Wells | Physician Assistant | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811567 | Venessa Brunt | Home Health | 271 Orchard Park Drive, Advance, NC 27006 | 2020-08-17 |
| 1730707928 | Dara Elzena Green | Physical Therapist | 142 Hollybrook Dr, Advance, NC 27006 | 2020-07-14 |
| 1104339084 | Mark Curry Maynard | Registered Nurse | 125 W Robin Dr, Advance, NC 27006 | 2017-11-14 |
| 1457781585 | Christa Cook | Physical Therapist | 316 N Carolina 801, Advance, NC 27006 | 2013-11-27 |
| 1801029582 | Bonnie T. Bergen | Pharmacist | 260 Us Hwy 801 N, Advance, NC 27006 | 2009-08-28 |
| 1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
| 1114101078 | Dr. Todd Carter D.d.s | Dentist | 123 Nc Highway 801 S. #c-100, Advance, NC 27006 | 2007-12-27 |
| 1437373883 | Adam T. Dorsett | Dentist | 127 Royal Troon Ln, Advance, NC 27006 | 2007-04-13 |
| 1861583882 | Todd H Carter | Dentist | 123 Nc Hwy 801 South, C-100, Advance, NC 27006 | 2006-09-27 |
| 1104927987 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 260 Highway 801, Advance, NC 27006 | 2006-09-26 |
| Find all providers in zip 27006 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639525199 | Chelsey Pait Beasley | Nurse Practitioner | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2016-05-13 |
| 1205074333 | Christian Connor Hall | Nurse Practitioner | 114 Kinderton Blvd, Advance, NC 27006-7302 | 2009-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594732 | Megan Hoekstra | Nurse Practitioner | 8358 Six Forks Rd Ste 204, Raleigh, NC 27615-5093 | 2020-10-04 |
| 1639713118 | Holly Hattler Barber | Nurse Practitioner | Unc Dept of Pediatrics 030 Macnider Hall Cb 7231, Chapel Hill, NC 27599-0001 | 2019-10-29 |
| 1437709565 | Molly Benson Miller | Nurse Practitioner | 101 Manning Dr Cb 7236, Chapel Hill, NC 27599-7236 | 2019-09-20 |
| 1407406267 | Michelle Ferricher | Nurse Practitioner | Naval Medical Center Pediatric Clinic, Nh-200 Recovery Way, Camp Lejeune, NC 28547 | 2019-09-13 |
| 1548814072 | Ashley Goodwin Friddle | Nurse Practitioner | 802 Green Valley Rd Ste 210, Greensboro, NC 27408-7099 | 2019-08-01 |
| 1740743129 | Jennifer W Farrow | Nurse Practitioner | 940 Se Cary Pkwy Ste 200, Cary, NC 27518-7417 | 2019-04-11 |
| 1538641147 | Taylor Rippy | Nurse Practitioner | 2304 Delaney Ave, Wilmington, NC 28403-6013 | 2018-08-30 |
| 1427544931 | Sheila L Mason | Nurse Practitioner | Wfbmc 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2018-07-09 |
| 1770099319 | Jillian Hernandez Sprague | Nurse Practitioner | 101 E Matthews St Ste 800, Matthews, NC 28105-5374 | 2017-12-19 |
| 1427587625 | Amanda Register | Nurse Practitioner | 110 E Park Dr, Beulaville, NC 28518-6916 | 2017-06-09 |
| Find all providers with the same taxonomy | ||||
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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.