KRISTEN LYN MOSTROM (NPI# 1821413519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821413519 |
| Entity Type | Individual |
| Full Name | KRISTEN LYN MOSTROM |
| Credential | MPA, LAT, ATC |
| Practice Address |
2500 Warren Carroll Dr Box 8502 Raleigh NC 27695-0001 |
| Practice Telephone | 9195137801 |
| Practice Fax Number | 9195130728 |
| Mailing Telephone | 9195137801 |
| Mailing Fax Number | 9195130728 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | 2307 | NC | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2500 WARREN CARROLL DR BOX 8502 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27695-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911150 | Joy Bataille | Pharmacist | 2815 Cates Avenue, Raleigh, NC 27695 | 2017-06-08 |
| 1992334247 | Brianne Lawton | Specialist/Technologist | 1 Reynolds Coliseum, Raleigh, NC 27695-0001 | 2020-04-07 |
| 1164065827 | Whitney Beth Griffin | Psychologist | 2310 Stinson Drive Ncsu Dept of Psychology 640 Poe Hall, Raleigh, NC 27695-0001 | 2019-10-24 |
| 1023523552 | Soo Young Uhm | Dietitian, Registered | 2815 Cates Avenue Campus Box 7304, Raleigh, NC 27695-0001 | 2017-12-06 |
| 1578088316 | Andrew Bagley | Emergency Medicine | 2500 Warren Caroll Drive, Raleigh, NC 27695-0001 | 2017-08-12 |
| 1184149312 | Mianmian Sun | Pharmacist | 2815 Cates Ave Box 7304, Raleigh, NC 27695-0001 | 2017-08-09 |
| 1063952034 | Natalie Murr | Psychologist | 640 Poe Hl, 2310 Katharine Stinson Drive, Raleigh, NC 27695-0001 | 2017-02-24 |
| 1457577975 | Sasha J Fradin | Psychologist | Ncsu Psychoeducational Clinic, Campus Box 7650, Raleigh, NC 27695-0001 | 2007-04-17 |
| 1699390021 | Scott Donald Ensell | Specialist/Technologist | 2500 Warren Carroll Dr, Raleigh, NC 27695-0001 | 2020-06-11 |
| 1194236588 | Suha Najjar | Nutritionist | 2815 Cates Ave, Raleigh, NC 27695-0001 | 2017-10-12 |
| Find all providers in zip 27695 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982733374 | Erika B Gottlieb | Specialist/Technologist, Other | 3515 Glenwood Ave, Raleigh, NC 27612-4934 | 2007-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829904 | Darrell Martin | Specialist/Technologist, Other | 209 Hollow Ln, Mt Holly, NC 28120-9652 | 2020-10-22 |
| 1154961100 | Amanda Roberts | Specialist/Technologist, Other | 113 County Line Rd, Tyner, NC 27980-9690 | 2020-01-07 |
| 1841849031 | Brandon Jacoby Everett | Specialist/Technologist, Other | 610 N Fayetteville St Ste 302, Asheboro, NC 27203-4671 | 2019-09-10 |
| 1598204240 | Lorette Robinson | Specialist/Technologist, Other | 17925 Halton Park Dr, 1e, Charlotte, NC 28262-6014 | 2017-02-14 |
| 1902343007 | Tracey Hampton | Specialist/Technologist, Other | 402 Saturn St, Dunn, NC 28334-2704 | 2017-01-26 |
| 1598142440 | Phillip Gary Horton Sr. | Specialist/Technologist, Other | 12152 Moonshadow Ln, Huntersville, NC 28078-6858 | 2015-04-29 |
| 1174914436 | Robyn Barton | Specialist/Technologist, Other | 10616 Metromont Pkwy Ste 106, Charlotte, NC 28269 | 2015-02-09 |
| 1568891364 | Cape Fear Imaging, LLC | Specialist/Technologist, Other | 6361 Ocean Hwy E, Winnabow, NC 28479-5758 | 2013-11-02 |
| 1104128586 | Frank James Anderson | Specialist/Technologist, Other | 2126 Rolling Ridge Dr, Midway Park, NC 28544-1622 | 2010-11-17 |
| 1740481209 | Joan Beasley | Specialist/Technologist, Other | 219 Clover Creek Rd, Franklin, NC 28734-6382 | 2007-05-30 |
| 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.