Individual provider Active NPI

Kristin Lauer Allison, FNP, WHNP

  • Women's Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1689062176
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5007352 Issued in NC
Practice address
4414 Lake Boone TRL
Suite 405
Raleigh, NC 27607-7513
Phone
(919) 876-8225
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 5007352 NC Primary

Addresses

Primary practice location

4414 Lake Boone TRL
Suite 405
Raleigh, NC 27607-7513

Mailing address

4414 Lake Boone TRL
Suite 405
Raleigh, NC 27607-7513
Phone (919) 876-8225

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
I20150319002746 NC Practitioner - Nurse Practitioner 0345567996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uwh of the Carolinas PLLCGroup PAC ID 0042448169, 329 clinicians

Practice addresses (Care Compare)

11009 Ingleside PL
Suite 301
Raleigh, NC 27614-8577
Phone (919) 876-8225

Merit-based Incentive Payment System (MIPS)

Final score
88.25 of 100Reported as group
Quality
82.32
Promoting interoperability
100
Improvement activities
40
Cost
78.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5007352NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince Jan 4, 2015 Accepting new patients
Whap, PA Past Accepting new patients
Raleigh OB/GYN Centre, PA Past Accepting new patients

Locations

4414 Lake Boone Trl
Ste 309
Raleigh, NC 27607
Phone (919) 232-6896

11009 Ingleside Pl
Ste 301
Raleigh, NC 27614
Phone (919) 876-8225

4414 Lake Boone Trl
Ste 407
Raleigh, NC 27607
Phone (919) 341-0915

4414 Lake Boone Trl
Ste 405
Raleigh, NC 27607
Phone (919) 876-8225

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Interoperability endpoints

  • Direct secure messaging: kristin.allison.1@7773.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7773/brand/51/csg/541/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1689062176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 405",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-876-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "SUITE 405",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-876-8225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "KRISTIN",
        "middle_name": "LAUER",
        "credential": "FNP, WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5007352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.