Kristi Lynn Nicol, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-00999 Issued in NC

Practice address

4525 Cameron Valley Pkwy
Suite 1500
Charlotte, NC 28211-3546

Phone

(704) 512-6240

Fax

(704) 512-6241

NPI assigned

Aug 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carolina Family Medicine & Urgent Care PA

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1740499714
  NPD (past)
• Carolinas Physicians Network Inc

  dba Atrium Health Urgent Care

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1386653830
  NPD (past)

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1194918771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601692",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601692",
            "telephone_number": "704-512-6240",
            "fax_number": "704-512-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 CAMERON VALLEY PKWY",
            "address_2": "SUITE 1500",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282113546",
            "telephone_number": "704-512-6240",
            "fax_number": "704-512-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOL",
        "first_name": "KRISTI",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-00999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myron Nicholson, MD
• Nancy E Nicholson, LCSW
• Robyn Neill Nicholson, MA, LPCA
• Ashley V. Nickelson, CRNA
• Debra Anne Nickerson, NNP-BC
• Nicole Rist Collins, OD, PLLC
• Michael Francis Nido, PA-C
• Albert O Niedan, DDS
• Alicia Konneker Nielsen, PA-C
• Hayden Michael Nielsen

• Medical Physician Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.