Kristina Alisa Taylor-Lewis, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5010021 Issued in NC

Practice address

17078 Nat Bynum LN Unit 3
Cornelius, NC 28031-0507

Phone

(704) 324-3975

Fax

(704) 324-3974

NPI assigned

Feb 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Gastonia Physician Services, PLLC

  • Emergency Medicine Physician
  • Gastonia, NC
  • NPI 1316367691
  Medicare reassignment NPD
• Gastonia Physician Services, PLLC

  • Emergency Medicine Physician
  • Mount Holly, NC
  • NPI 1023416708
  NPD
• Gastonia Physician Services, PLLC

  • Emergency Medicine Physician
  • Belmont, NC
  • NPI 1104644004
  NPD

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1457776874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17078 NAT BYNUM LN UNIT 3",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280310507",
            "telephone_number": "704-324-3975",
            "fax_number": "704-324-3974"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16525 Holly Crest Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280784911",
            "country_code": "US",
            "telephone_number": "704-384-1725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18951 N Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773384217",
            "country_code": "US",
            "telephone_number": "281-540-7999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR-LEWIS",
        "first_name": "KRISTINA",
        "middle_name": "ALISA",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "809206",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5010021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktaylorlewis531170@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "17078 Nat Bynum Ln Unit 3",
            "city": "Cornelius",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280310507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ariel Talts, D.O.
• Michael A. Tanis, ED.S, LMFT
• Tapas P. Patel, DDS, PLLC
• Tessa Tauchert
• Rocio Claribel Tavarez Angeles, DO
• Michael Joseph Taylor, MD
• Savanna L Teague
• Team Therapy Group
• Sonya Terrell, LMFT
• Terry E. Callison, D.D.S., M.S., P.a.

• Nurse Practitioner in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.