Kristi Dougan, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

5008420 Issued in NC

Practice address

9723 Northeast Pkwy Ste 100
Matthews, NC 28105-9719

Phone

(980) 262-3007

Fax

(980) 262-3528

NPI assigned

Mar 4, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Brody School of Medicine at East Carolina University, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ubylee Healthcare Group, PLLCGroup PAC ID 8921349044, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristi.dougan.3@15834.direct.athenahealth.com

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.

• Ubylee Healthcare Group, PLLC

  • Specialist
  • Gastonia, NC
  • NPI 1700658036
  Medicare reassignment Care Compare group NPD
• Ubylee Healthcare Group

  • Family Medicine Physician
  • Matthews, NC
  • NPI 1881418788
  NPD
• Ubylee Healthcare Group, PLLC

  • Specialist
  • Matthews, NC
  • NPI 1265942403

  Adult Health

  NPD (past)

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1275993149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9723 NORTHEAST PKWY STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059719",
            "telephone_number": "980-262-3007",
            "fax_number": "980-262-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9723 NORTHEAST PKWY STE 100",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281059719",
            "telephone_number": "980-262-3007",
            "fax_number": "980-262-3528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 N Trade St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "28105",
            "country_code": "US",
            "telephone_number": "704-246-3936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16147 Lancaster Hwy",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282772050",
            "country_code": "US",
            "telephone_number": "704-208-4134",
            "fax_number": "704-248-7845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUGAN",
        "first_name": "KRISTI",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5008420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275993149",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Rainey Dooley, LCMHC
• David Dorenfeld, PA-C
• Olivia Jade Dority
• Stacey Lynn Dorn, CNM
• Takai Dorsey
• Dr Andrew G Hahn and Associates Optometry PA
• Dr. Arnoldo Bowrey OD PLLC
• Dr. Karen E. Hooper, Psychologist, P.a.
• Dr. Nicholas Graham and Associates
• Drake Neuromuscular Therapy, LLC

• Adult Health Nurse Practitioner in Matthews, NC
• Providers in Matthews, 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 Jun 22, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.