KELSEY LINDE (NPI# 1902452600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902452600 |
| Entity Type | Individual |
| Full Name | KELSEY LINDE |
| Credential | PA |
| Practice Address |
4539 Hedgemore Dr Ste 100 Charlotte NC 28209-3276 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7043319669 |
| Enumeration Date | 2019-08-18 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-09537 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10628 Park Rd, Charlotte, NC 282108407 | 7046677070 | |
| 2001 Vail Ave, Charlotte, NC 282071248 | 7043046070 | |
| 201 E Grover St, Shelby, NC 281503917 | 9804873678 | |
| 301 Yadkin St, Albemarle, NC 280013441 | 7049844365 | |
| 433 Mcalister Rd, Lincolnton, NC 280924147 | 9802126018 | |
| 600 Hospital Dr, Monroe, NC 281126000 | 7049932240 | |
| 8800 N Tryon St, Charlotte, NC 282623300 | 7048636241 | |
| 920 Church St N, Suite 255, Concord, NC 280252927 | 7044031331 |
| Street Address |
4539 HEDGEMORE DR STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408423 | Joseph Lang | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2005-12-19 |
| 1164942892 | Wayne Wilkens Jr. | Nurse Practitioner | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2017-06-23 |
| 1326445040 | Dana Karp | Nurse Practitioner | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2014-11-24 |
| 1528486057 | Mindy Sampson | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2014-04-02 |
| 1003242876 | Carolinas Physicians Network Inc | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2013-09-24 |
| 1487945333 | Leigh Ann Medaris | Internal Medicine | 4539 Hedgemore Dr, Suite 100, Charlotte, NC 28209-3276 | 2011-04-27 |
| 1952626319 | Kaitlin Beckman | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2010-03-29 |
| 1619135092 | Anupama Neelakanta | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2008-06-02 |
| 1003006172 | Nestor Quezada | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2007-07-25 |
| 1033318696 | Zainab Shahid | Internal Medicine | 4539 Hedgemore Dr, Ste 100, Charlotte, NC 28209-3276 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351607 | Michael James Blackwell | Physician Assistant | 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 | 2020-09-22 |
| 1598371320 | Jonathan Byron Lively | Physician Assistant | 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 | 2020-09-17 |
| 1902415532 | Jacqueline Ellen Leyrer | Physician Assistant | 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 | 2020-07-29 |
| 1750908380 | Whitney Debroy | Physician Assistant | 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 | 2020-06-30 |
| 1972129302 | Ashley Nicole Short | Physician Assistant | 1022 E Worthington Ave, Charlotte, NC 28203-5760 | 2020-06-22 |
| 1558985176 | Courtney Claugus | Physician Assistant | 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 | 2020-05-29 |
| 1467071738 | Patrick James Quinn | Physician Assistant | 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 | 2020-04-15 |
| 1225660301 | Sunil Ranchhod Ghodasara | Physician Assistant | 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 | 2020-02-06 |
| 1225668601 | Emily Rebecca Markey | Physician Assistant | 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 | 2020-01-24 |
| 1639719586 | Abosede Elizabeth Adamson | Physician Assistant | 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 | 2020-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.