Kestahl & Associates, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

166286 Issued in NC

Legal business name

KESTAHL & ASSOCIATES, LLC

Practice address

590 Mountain Laurel
Chapel Hill, NC 27517-7615

Phone

(919) 542-5673

NPI assigned

Jun 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Crystal Ladd Anderson, R.N.

Title

Vaccine Coordinator

Phone

(919) 542-5673

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003843376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 MOUNTAIN LAUREL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177615",
            "telephone_number": "919-542-5673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MOUNTAIN LAUREL",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177615",
            "telephone_number": "919-542-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KESTAHL & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LADD",
        "authorized_official_title_or_position": "VACCINE COORDINATOR",
        "authorized_official_telephone_number": "919-542-5673",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "166286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.