Kristin K Strange, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9501668 Issued in NC

Practice address

3800 Meeting St Ste 222
Lake Park, NC 28079-6582

Phone

(704) 576-2231

NPI assigned

Oct 17, 2005

Last updated

Jul 30, 2024By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Thrive Pediatrics and Wellness, PLLC

  • Pediatrics Physician
  • Lake Park, NC
  • NPI 1235993270
  NPD Authorized official

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1568451144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7154 THREE WOOD DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281043194",
            "telephone_number": "704-576-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MEETING ST STE 222",
            "city": "LAKE PARK",
            "state": "NC",
            "postal_code": "280796582",
            "telephone_number": "704-576-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANGE",
        "first_name": "KRISTIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9501668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910386",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Counseling and Wellness, PLLC
• Sa-Shiq LLC
• Erin Shroyer, LCMHC
• Seth Cannon Spencer, MD
• Thrive Pediatrics and Wellness, PLLC

• Pediatrics Physician in Lake Park, NC
• Providers in Lake Park, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.