Active NPI
Krystal Marie Gessert-Herring, NP-C
- Nurse Practitioner
- Gastonia, NC
National Provider Identifier
1316403561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5011462
- Practice address
- 2391 Court Dr Ste 110
Gastonia, NC 28054-2197 - Phone
- (704) 853-3330
- NPI assigned
- Feb 13, 2019
- Last updated
- Feb 13, 2019
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5011462 | NC | Primary |
Addresses
Primary practice location
2391 Court Dr Ste 110
Gastonia, NC 28054-2197
Mailing address
12418 Dove Meadow Dr
Charlotte, NC 28278-0048
Phone (704) 712-4032
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011462 | NC | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1316403561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12418 DOVE MEADOW DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282780048",
"telephone_number": "704-712-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2391 COURT DR STE 110",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542197",
"telephone_number": "704-853-3330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GESSERT-HERRING",
"first_name": "KRYSTAL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5011462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.