Individual provider Active NPI

Kris Katherine Seagle

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1457211963
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023462 Issued in NC
Practice address
2512 Austyn Joey Dr
Charlotte, NC 28214-9713
Phone
(704) 446-9991
NPI assigned
Nov 17, 2025
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5023462 NC Primary

Addresses

Primary practice location

2512 Austyn Joey Dr
Charlotte, NC 28214-9713

Mailing address

2512 Austyn Joey Dr
Charlotte, NC 28214-9713
Phone (704) 446-9991

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260226000196 NC Practitioner - Nurse Practitioner 9335620467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4435 Golf Acres Dr
Charlotte, NC 28208-5947

PO Box
Suite 19305
Charlotte, NC 28219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5023462NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Medical Center CurrentSince Feb 9, 2026 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 9, 2026 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 9, 2026 Accepting new patients
Carolinas Medical Center CurrentSince Feb 9, 2026 Accepting new patients

Locations

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

251 Eastway Dr
Charlotte, NC 28213
Phone (704) 446-9991

3311 Beam Rd
Ste 300A
Charlotte, NC 28217
Phone (704) 468-0137

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1457211963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 AUSTYN JOEY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282149713",
            "telephone_number": "704-446-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 AUSTYN JOEY DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282149713",
            "telephone_number": "704-446-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAGLE",
        "first_name": "KRIS",
        "middle_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.