Krysta Cosentino Holterman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-04359 Issued in NC

Practice address

8300 Health Park Ste 221
Raleigh, NC 27615-4731

Phone

(704) 272-3880

Fax

(704) 208-4159

NPI assigned

Jul 16, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Krysta Jennings Cosentino Former name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Orthopaedic Specialists of North Carolina, P.a.

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1649327750
  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1467893602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 ALPHARETTA HWY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763805",
            "telephone_number": "704-272-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 HEALTH PARK STE 221",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154731",
            "telephone_number": "704-272-3880",
            "fax_number": "704-208-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTERMAN",
        "first_name": "KRYSTA",
        "middle_name": "COSENTINO",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2024-02-22",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRYSTA",
            "last_name": "COSENTINO",
            "middle_name": "JENNINGS",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Barksdale Holt, PAC
• Sarah Catherine Holt, MS, OTR/L
• Shannon Holt, OT
• Tanner Holt
• Windsor Austin Holt, MD
• Kimberly Grace Holtmann, LCMHC
• Alan Lewis Holton, M.D.
• Charles A. Holton, LCSW
• Joshua Holton
• Hannah Holzhauer, MS, RDN, LDN, NBCHWC

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.