DR. KRISTA CIVILETTI (NPI# 1548350382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548350382 |
| Entity Type | Individual |
| Full Name | DR. KRISTA CIVILETTI |
| Credential | D.O. |
| Practice Address |
100 E Dogwood Dr Mebane NC 27302-7746 |
| Mailing Address |
2000 Perimeter Park Dr Suite 200 Morrisville NC 27560-8442 |
| Practice Telephone | 9195632896 |
| Mailing Telephone | 9195632896 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2014-02119 | NC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | OS012949 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE PTAN | NCP490B | 01 |
| Street Address |
100 E DOGWOOD DR |
| City | MEBANE |
| State | NC |
| Zip Code | 27302-7746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225087935 | Barbara D Aldridge | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2006-05-09 |
| 1467877746 | Unc Physicians Network LLC | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2014-02-24 |
| 1700130754 | Unc Physicians Network, LLC | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2012-10-30 |
| 1013269497 | Linda Marie Stiebris | Physician Assistant | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2012-10-09 |
| 1134355456 | Khary Stephen Carew | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2009-06-01 |
| 1952508434 | Duke University Affiliated Physicians, Inc | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2007-06-28 |
| 1104948892 | Heidi Grandis | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2007-04-04 |
| 1689757841 | David W. Gehrman | Physician Assistant | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389117 | Heather Shelton | Speech-Language Pathologist | 2502 S Nc 119, Mebane, NC 27302 | 2018-09-13 |
| 1538653514 | I.c.a.r.e. Counseling Services, Pllc | Counselor | 106 S Fourth St Ste A, Mebane, NC 27302 | 2018-06-21 |
| 1558860858 | Ridge Care Inc | Custodial Care Facility | 1999 South Highway 119 S, Mebane, NC 27302 | 2018-02-02 |
| 1619496767 | Lindsay Elizabeth Grobman | Physical Therapist | 412 Tighfield Dr, Mebane, NC 27302 | 2017-09-10 |
| 1760911689 | Lane and Associates Xxxi, Dds, Pa | Dentist | 1242 S Fifth St, Mebane, NC 27302 | 2017-06-05 |
| 1386042554 | Alamance Manor Assisted Living LLC | Custodial Care Facility | 1999 South Highway 150, Mebane, NC 27302 | 2014-12-19 |
| 1467850883 | Hope's Highway, Pllc | Social Worker | 105 East Center St., Suite B9, Mebane, NC 27302 | 2014-12-17 |
| 1841639341 | Blankenship Family Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6207 Paylor Street, Mebane, NC 27302 | 2013-06-18 |
| 1346689171 | Champion Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 507 Blue Lake Drive, Mebane, NC 27302 | 2013-06-14 |
| 1306284195 | Falcon Crest Residential Care | Community/Behavioral Health | 2094 Haith-fuller Trail, Mebane, NC 27302 | 2013-06-13 |
| Find all providers in zip 27302 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033398599 | Mebane Medical Clinic Pa | Family Medicine | 1242- C South Fifth Street, Mebane, NC 27302 | 2007-10-31 |
| 1891862355 | Laura Katherine Bliss | Family Medicine | 132 Millstead Dr, Mebane, NC 27302-7165 | 2006-11-29 |
| 1386674083 | Vickie Ann Fowler | Family Medicine | 1352 Mebane Oaks Rd, Mebane, NC 27302-9681 | 2006-07-05 |
| 1225087935 | Barbara D Aldridge | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2006-05-09 |
| 1033119425 | Deanna Craven Jones | Family Medicine | 3940 Arrowhead Blvd Ste 220, Mebane, NC 27302-7637 | 2005-07-28 |
| 1467877746 | Unc Physicians Network LLC | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2014-02-24 |
| 1700130754 | Unc Physicians Network, LLC | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2012-10-30 |
| 1093017154 | Armc Physicians Care, Inc | Family Medicine | 3940 Arrowhead Blvd, Suite 225, Mebane, NC 27302-7637 | 2010-11-23 |
| 1720303795 | Bliss Medical Group Pa | Family Medicine | 132 Millstead Dr, Mebane, NC 27302-7165 | 2010-04-02 |
| 1134355456 | Khary Stephen Carew | Family Medicine | 100 E Dogwood Dr, Mebane, NC 27302-7746 | 2009-06-01 |
| Find all providers in MEBANE | ||||
Please comment or provide details below to improve the information on DR. KRISTA CIVILETTI.
| 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.