Kristen Shayanne Crook, CPNP-PC
Individual provider Active NPI Pediatric Nurse Practitioner · Goldsboro, NC
NPI 1053781088 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1053781088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 5017769 (NC)
- Practice address
- 2706 Medical Office PL
Goldsboro, NC 27534-9460 - Phone
- (919) 734-4736
- NPI assigned
- Oct 2, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5017769 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldsboro Pediatrics PA | Past |
Accepting new patients | |
| Goldsboro Pediatrics PA | Past | Accepting new patients | |
| Goldsboro Pediatrics PA | Past |
Accepting new patients | |
| Goldsboro Pediatrics PA | Past |
Accepting new patients |
Interoperability endpoints
- kcrook@goldsboropeds.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5017769 | NC | Yes |
Addresses
Primary practice location
2706 Medical Office PL
Goldsboro, NC 27534-9460
Mailing address
2706 Medical Office PL
Goldsboro, NC 27534-9462
Phone (919) 734-4736
Other providers in Goldsboro, NC
- Bambi Michelle Crawford-Jones
- T-Rex Crawford
- Sara Creech
- Kevin M Cregan
- Sharon G. Crenshaw
- Rebecca Auston Croom
- Susan Sutton Croom
- Anne Cross
- Crossroads Support Services, Inc
- James L. Crowgey Jr.
All providers in Goldsboro, NC · Pediatric Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.