Active NPI
Christine Rose Erdie-Lalena, M.D.
- Developmental - Behavioral Pediatrics Physician
- Winston Salem, NC
National Provider Identifier
1003899014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 2019-02062
- Practice address
- 2200 Cloverdale Ave
Winston Salem, NC 27103-2300 - Phone
- (336) 713-4500
- Fax
- (336) 713-4501
- NPI assigned
- Nov 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2019-02062 | NC | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 2019-02062 | NC | Primary |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 022850 | LA |
Addresses
Primary practice location
2200 Cloverdale Ave
Winston Salem, NC 27103-2300
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-2255
Other practice location 1
9300 DeWitt Loop
Fort Belvoir, VA 22060-5285
Phone (571) 231-1177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130131000543 | WA | Order and Referring Only - Pediatric Medicine | 6507010360 | |
| I20140422001647 | DC | Order and Referring Only - Pediatric Medicine | 6507010360 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-02062 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Past | Accepting new patients |
Interoperability endpoints
- cerdielalena2754281@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768867200000",
"number": "1003899014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 CLOVERDALE AVE",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032300",
"telephone_number": "336-713-4500",
"fax_number": "336-713-4501"
}
],
"practiceLocations": [
{
"address_1": "9300 DeWitt Loop",
"address_purpose": "LOCATION",
"city": "Fort Belvoir",
"state": "VA",
"postal_code": "220605285",
"country_code": "US",
"telephone_number": "571-231-1177",
"fax_number": "571-231-6631",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERDIE-LALENA",
"first_name": "CHRISTINE",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-23",
"last_updated": "2026-01-20",
"certification_date": "2026-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2019-02062",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "NC",
"license": "2019-02062",
"primary": true
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "LA",
"license": "022850",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.