MS. KATHRYN ALEXIS REPAS (NPI# 1972924157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972924157 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN ALEXIS REPAS |
| Credential | PA |
| Practice Address |
13640 Steelecroft Pkwy Charlotte NC 28278-7565 |
| Mailing Address |
3414 Summerfield Ridge Ln Matthews NC 28105-8500 |
| Practice Telephone | 7045125500 |
| Mailing Telephone | 5187271335 |
| Enumeration Date | 2013-12-14 |
| Last Update Date | 2013-12-14 |
| 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 |
| Street Address |
13640 STEELECROFT PKWY |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28278-7565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063444263 | Charles Bale | Obstetrics & Gynecology | 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278-7565 | 2006-07-07 |
| 1740711076 | John Licata | Pediatrics | 13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565 | 2017-03-27 |
| 1871038265 | Elissa Ann Bolling | Physician Assistant | 13640 Steelecroft Pkwy, Charlotte, NC 28278-7565 | 2016-12-21 |
| 1518339902 | Dustin Huerta | Nurse Practitioner | 13640 Steelecroft Pkwy, Charlotte, NC 28278-7565 | 2015-10-23 |
| 1497131031 | Kanitra Clyburn | Nurse Practitioner | 13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565 | 2015-08-05 |
| 1316328818 | Shirin Jafari-namin | Pediatrics | 13640 Steelecroft Pkwy, Ste 210, Charlotte, NC 28278-7565 | 2015-06-11 |
| 1366847915 | Sana Umair | Hospitalist | 13640 Steelecroft Pkwy, Ste 320, Charlotte, NC 28278-7565 | 2014-10-24 |
| 1023455425 | Colleen Pettrey | Internal Medicine | 13640 Steelecroft Pkwy, Ste 320, Charlotte, NC 28278-7565 | 2013-05-28 |
| 1801233390 | Courtney Moynihan | Obstetrics & Gynecology | 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278-7565 | 2013-05-24 |
| 1407299415 | Mitchell Alvarez | Obstetrics & Gynecology | 13640 Steelecroft Pkwy, Ste 240, Charlotte, NC 28278-7565 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060170 | Stride | Community/Behavioral Health | 14054 Singleleaf Lane, Charlotte, NC 28278 | 2020-07-08 |
| 1245742279 | Ruby Home Healthcare, LLC | Home Health | 17202 Belmont Stakes Lane, Charlotte, NC 28278 | 2017-10-31 |
| 1962926287 | Limitless Little Learners | Community/Behavioral Health | 13909 Derby Farm Lane, Charlotte, NC 28278 | 2017-07-28 |
| 1497106694 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 4821 Berewick Town Center Dr, Charlotte, NC 28278 | 2016-06-29 |
| 1932574753 | Adrienne Forney | Counselor | 14923 Alyssa Faith Court, Charlotte, NC 28278 | 2015-12-04 |
| 1447620398 | Sherae Threatt Lattimore | Behavioral Analyst | 5614 Samuel Neel Rd, Charlotte, NC 28278 | 2015-10-05 |
| 1528340676 | Khyati Dhaval Shah | Pediatrics | 13557 Steelecroft Pkwy Ste 2200, Charlotte, NC 28278 | 2011-09-14 |
| 1184915043 | John Angelo Tenini | Internal Medicine | 13557 Steelecroft Pkwy Ste 1200, Charlotte, NC 28278 | 2011-04-27 |
| 1568612240 | Kim Marie Briden | Contractor | 13805 Appling Lane, Charlotte, NC 28278 | 2008-09-30 |
| 1144477258 | Presbyterian Imaging Centers LLC | Radiology | 13557 Steelecroft Parkway, Suite 1100, Charlotte, NC 28278 | 2008-08-20 |
| Find all providers in zip 28278 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1982212072 | Alexandria Bower-nelson | Physician Assistant | 1302 Porter Drive, Charlotte, MI 48813 | 2020-07-15 |
| 1417506791 | Lauren Moir | Physician Assistant | 2700 Coltsgate Rd Ste 106, Charlotte, NC 28211-3573 | 2019-09-09 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1285172981 | Melanie Reyer | Physician Assistant | 5005 Morrowick Rd, Charlotte, NC 28226-7366 | 2017-02-02 |
| 1255877627 | Taylor King | Physician Assistant | 730 Hawthorne Ln Apt 443, Charlotte, NC 28204-2182 | 2017-01-10 |
| 1831579242 | Lindsey Chaney Taylor | Physician Assistant | 1900 Randolph Road, Suite 900, Charlotte, NC 28207-1122 | 2015-06-02 |
| 1306232079 | Rebecca Lee Strunk-lail | Physician Assistant | 1211 N. Community House Rd, Charlotte, NC 28277 | 2015-04-09 |
| 1194117432 | Harlee Palmer | Physician Assistant | 10502 Park Rd Suite 100, Charlotte, NC 28210-8479 | 2015-02-24 |
| 1154669364 | Laura A Justen | Physician Assistant | 1025 Morehead Medical Dr Ste 225, Charlotte, NC 28204-2974 | 2013-01-23 |
| 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.