Individual provider Active NPI

Christina Pradhan, NP

  • Family Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1356757348
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013127 Issued in NC
Practice address
10430 Park Rd Ste 100a
Charlotte, NC 28210-8541
Phone
(704) 259-7673
NPI assigned
Jul 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F306910 NY
Family Nurse Practitioner 363LF0000X 5013127 NC Primary

Addresses

Primary practice location

10430 Park Rd Ste 100a
Charlotte, NC 28210-8541

Mailing address

10430 Park Rd Ste 100a
Charlotte, NC 28210-8541
Phone (704) 259-7673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150207000259 NY Practitioner - Nurse Practitioner 8224353594 Reassigns benefits to 1 organization
I20241206001928 NC Practitioner - Nurse Practitioner 8224353594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

157 Professional Park Dr
Suite a
Mooresville, NC 28117-5606
Phone (704) 662-3967

Hospital & facility affiliations

  • Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
306910NYMDPediatric Surgery Physician
F306910NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amora Vitality PLLC Adult Health Current Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince Oct 1, 2014 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Apr 1, 2025 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Past Accepting new patients

Locations

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

157 Professional Park Dr
Ste A
Mooresville, NC 28117
Phone (704) 658-1001

128 Argus Ln
Ste G
Mooresville, NC 28117
Phone (704) 660-4362

202 Williamson Rd
#100
Mooresville, NC 28117
Phone (704) 799-7811

131 Medical Park Rd
Ste 302
Mooresville, NC 28117
Phone (704) 660-4750

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: cpradhan623472@direct.medicine.duke.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1356757348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 PARK RD STE 100A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108541",
            "telephone_number": "704-259-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 PARK RD STE 100A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108541",
            "telephone_number": "704-259-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F306910",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.