MRS. KELSEY NORKETT TRULL


Address: 1070 Vinehaven Dr Ne, Concord, NC 28025-2438
Phone: 7047831840

MRS. KELSEY NORKETT TRULL (NPI# 1508279043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508279043
Entity Type Individual
Full Name MRS. KELSEY NORKETT TRULL
Other Name MISS KELSEY JEAN NORKETT
Credential PA
Practice Address 1070 Vinehaven Dr Ne
Concord
NC 28025-2438
Mailing Address 4228 Saint Audrey Pl
Charlotte
NC 28269-8394
Practice Telephone 7047831840
Mailing Telephone 7047731488
Enumeration Date 2014-06-03
Last Update Date 2014-10-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 1508279043 05
NC BCBS OF NORTH CAROLINA 188GM 01

Office Location

Street Address 1070 VINEHAVEN DR NE
City CONCORD
State NC
Zip Code 28025-2438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740245224 Alison Jean Dominguez Physician Assistant 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2006-04-19
1760961502 Ishwari Amin Physician Assistant 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2018-08-13
1245670488 Keshia D Wells Physician Assistant 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2013-07-02
1699025957 Elaine Britt Smith Physician Assistant 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2012-09-14
1760748156 Pavan Patel Internal Medicine 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2012-04-10
1497911515 Elite Anesthesia, P A Nurse Anesthetist, Certified Registered 1070 Vinehaven Dr Ne, Dept of Anesthesia, Concord, NC 28025-2438 2008-07-29
1467626309 Richard H Billings Nurse Anesthetist, Certified Registered 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2008-04-22
1982899175 Geanina Anghel Internal Medicine 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2007-09-11
1912106998 Matthew B Myers Internal Medicine 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2007-07-11
1013048016 Vinay Patel Internal Medicine 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2007-03-08
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982234282 Brandon Sorkin Physician Assistant 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 2020-01-25
1083252357 Kelsey Ann Rothenberg Physician Assistant 284 Executive Park Dr Ste 110, Concord, NC 28025-1834 2019-12-17
1336557644 Brian Daniel II Physician Assistant 2380 Salvio St, Concord, CA 94520-2193 2014-07-30
1447529573 Sharon Yvonne Leavitt Physician Assistant 2095 Diamond Blvd Ste B150, Concord, CA 94520-5832 2011-12-19
1467588087 Lynde Rouche Physician Assistant 1260 Hale Dr, Concord, CA 94518-1516 2007-02-26
1114069259 Svetlana Alexander Lisovskiy Physician Assistant 2425 East St Ste 15, Concord, CA 94520-1926 2007-02-13
1457360802 Alan D Parzick Physician Assistant 264 Pleasant Street, Concord, NH 03301-2551 2006-08-05
1013973858 Jeniane L. Rathburn Physician Assistant 201 E Main Street, Concord Health Center, Concord, VT 05824-0355 2006-04-21
1740245224 Alison Jean Dominguez Physician Assistant 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 2006-04-19
1386611895 David Alan Johnson Physician Assistant 219 Le Phillip Ct, Concord, NC 28025-2900 2006-03-02
Find all providers in CONCORD

Competitor

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City CONCORD
Zip Code 28025

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Dataset Information

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.

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