NPIMap

Individual provider Active NPI

Korie Dewire Lambert

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1396709564
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05023 Issued in NC
Practice address
14330 Oakhill Park LN Ste 200B
Huntersville, NC 28078-3407
Phone
(704) 316-1265
NPI assigned
Apr 14, 2006
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05023 NC Primary
Medical Physician Assistant 363AM0700X MA052365 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X MA052365 PA

Addresses

Primary practice location

14330 Oakhill Park LN Ste 200B
Huntersville, NC 28078-3407

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1725

Other practice location 1

236 Market St Ste 110
Locust, NC 28097-9439
Phone (704) 384-9590

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address klambert193030@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141202001641 NC Practitioner - Physician Assistant 5991712002 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

14330 Oakhill Park LN
Suite 115
Huntersville, NC 28078-3479
Phone (704) 316-1265

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-05023NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Oct 1, 2014 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Oct 1, 2014 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

Interoperability endpoints

  • Direct secure messaging: klambert193030@direct.novanthealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1396709564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1725",
            "fax_number": "704-384-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 OAKHILL PARK LN STE 200B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783407",
            "telephone_number": "704-316-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 Market St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Locust",
            "state": "NC",
            "postal_code": "280979439",
            "country_code": "US",
            "telephone_number": "704-384-9590",
            "fax_number": "704-384-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERT",
        "first_name": "KORIE",
        "middle_name": "DEWIRE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05023",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA052365",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "MA052365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "klambert193030@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "236 Market St Ste 110",
            "city": "Locust",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280979439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.