Active NPI
Tina Frances Kujawski, AANP
- Adult Health Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1124244850
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 900134
- Practice address
- 1900 Randolph Rd
Suite 906
Charlotte, NC 28207-1122 - Phone
- (704) 347-3447
- Fax
- (704) 347-3440
- NPI assigned
- Apr 18, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 900134 | NC | Primary |
Addresses
Primary practice location
1900 Randolph Rd
Suite 906
Charlotte, NC 28207-1122
Mailing address
1900 Randolph Rd
Suite 906
Charlotte, NC 28207-1122
Phone (704) 347-3447
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 900134 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain and Orthopedic Neurology, PA | Past | Accepting new patients |
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Charlotte, NC
- NPI 1083631824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362441600000",
"number": "1124244850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 RANDOLPH RD",
"address_2": "SUITE 906",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071122",
"telephone_number": "704-347-3447",
"fax_number": "704-347-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 RANDOLPH RD",
"address_2": "SUITE 906",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071122",
"telephone_number": "704-347-3447",
"fax_number": "704-347-3440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUJAWSKI",
"first_name": "TINA",
"middle_name": "FRANCES",
"name_prefix": "Mrs.",
"credential": "AANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2013-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "900134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.