Auxiliadora Krupskaya Valdiviezo, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5003960 Issued in NC

Practice address

101 W.T. Harris Blvd
Suite 1213
Charlotte, NC 28262-7007

Phone

(704) 549-8997

Fax

(704) 549-9197

NPI assigned

Apr 22, 2008

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Centro Medico Latino, PC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1164884821
  Medicare reassignment
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1386653830
  NPD (past)
• Carolinas Physicians Network Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1437038544
  NPD (past)
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1437168937
  NPD (past)
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1497762686
  NPD (past)
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Huntersville, NC
  • NPI 1508892746
  NPD (past)
• Carolinas Physicians Network Inc

  • Family Medicine Physician
  • Concord, NC
  • NPI 1902049190
  NPD (past)
• Union Urgent Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Monroe, NC
  • NPI 1063421469
  NPD (past)
• Union Urgent Care LLC

  • Family Medicine Physician
  • Indian Trail, NC
  • NPI 1659380079
  NPD (past)
• Southeast Alaska Regional Health Consortium

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Juneau, AK
  • NPI 1851486153
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481328000000",
    "number": "1447424338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 RANDOLPH RD",
            "address_2": "STE 303",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115122",
            "telephone_number": "704-333-0465",
            "fax_number": "704-333-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W.T. HARRIS BLVD",
            "address_2": "SUITE 1213",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282627007",
            "telephone_number": "704-549-8997",
            "fax_number": "704-549-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDIVIEZO",
        "first_name": "AUXILIADORA",
        "middle_name": "KRUPSKAYA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2016-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5003960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Valceus, MD
• Valcrest Inc.
• Odette Cianchini Valder, M.D.
• Stephen J. Valder, MD
• Jesus Amadeo Valdez, DDS
• Victoria Annalee Valencia Casales
• Anjalyse Maria Valenti, NP-C
• Norma Valentin, LCMHC
• Allyson Norwood Valentine, P.A.
• Brandon James Valentine, MD

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.