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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1508279043 | 05 | |
| NC | BCBS OF NORTH CAROLINA | 188GM | 01 |
| Street Address |
1070 VINEHAVEN DR NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2438 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 | ||||
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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.