Adult and Geriatric Healthcare PLLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

ADULT AND GERIATRIC HEALTHCARE PLLC

Practice address

325 1St Ave SW
Hickory, NC 28602-2940

Phone

(828) 228-5326

NPI assigned

Aug 12, 2022

Organization subpart

No

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

Authorized official

Name

Crystal Shuandale Killian, NPNPI 1114493111

Title

Owner

Phone

(828) 228-5326

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Shuandale Killian, NP

  • Adult Health Nurse Practitioner
  • Gastonia, NC
  • NPI 1114493111
  NPD Authorized official

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1043948482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 1ST AVE SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022940",
            "telephone_number": "828-228-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 1ST AVE SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022940",
            "telephone_number": "828-228-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT AND GERIATRIC HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "KILLIAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "SHUANDALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-228-5326",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114493111",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 1st Ave SW",
            "city": "Hickory",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286022940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Health Nurse Practitioner in Hickory, NC
• Providers in Hickory, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.