KRYSTAL GLADSON KENNEDY (NPI# 1598363681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598363681 |
| Entity Type | Individual |
| Full Name | KRYSTAL GLADSON KENNEDY |
| Other Name | KRYSTAL LYNN GLADSON |
| Credential | FNP-BC |
| Practice Address |
800 Moye Blvd Ste A Greenville NC 27834-3777 |
| Practice Telephone | 2527527133 |
| Practice Fax Number | 2527526120 |
| Mailing Telephone | 2527527133 |
| Mailing Fax Number | 2527526120 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5013666 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316304181 | Krystal Kennedy | Behavioral Analyst | 1215 War Eagle Dr, Crossville, TN 38572-9009 | 2016-01-25 |
| Street Address |
800 MOYE BLVD STE A |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-3777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629129119 | Greenville Family Doctors, Pa | Family Medicine | 800 Moye Blvd Ste A, Greenville, NC 27834-3777 | 2007-01-13 |
| 1326678889 | Sarah Whitley | Family Medicine | 800 Moye Blvd Ste A, Greenville, NC 27834-3777 | 2020-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245744937 | Carolina Healthchoice of Greenville, LLC | General Practice | 274 Commonwealth Dr Ste B, Greenville, SC 29615-4872 | 2017-11-17 |
| 1346608825 | American Family Care, Inc. | General Practice | 101 Paul Stabler Drive, Greenville, AL 36037-0000 | 2016-01-29 |
| 1609240910 | Eating Recovery Center-the Carolinas | General Practice | 12 Maple Tree Court, Suite 101, Greenville, SC 29615-4079 | 2015-11-24 |
| 1083918338 | Advanced Health and Physical Medicine Pllc | General Practice | 504-c Red Banks Rd, Greenville, NC 27858-5766 | 2010-12-30 |
| 1578885364 | St. Francis Physician Services Inc | General Practice | 2 Innovation Dr. Suite 120, Greenville, SC 29607-5262 | 2010-02-19 |
| 1164754487 | Murray Peeler Mckissick | General Practice | 245 Mcdaniel Ave, Greenville, SC 29601-3747 | 2010-02-11 |
| 1285886465 | Dominick Trinca | General Practice | 1440 Highway 1 S, Greenville, MS 38701-7140 | 2008-10-19 |
| 1598977506 | Alan M Peabody | General Practice | 1212 Haywood Road, Bldg 200, Greenville, SC 29615 | 2007-05-03 |
| 1952331662 | Forrest A Pommerenke | General Practice | 1020 Grove Rd, Greenville, SC 29605-4649 | 2006-07-05 |
| 1942230321 | North Hills Medical Center | General Practice | 3904 S Highway 14, Greenville, SC 29615-6138 | 2006-07-03 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on KRYSTAL GLADSON KENNEDY.
| 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.