Kimberly Cronshaw, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-07178 Issued in NC

Practice address

7019 Harps Mill Rd Ste 200
Raleigh, NC 27615-3248

Phone

(919) 850-1300

Fax

(919) 850-0012

NPI assigned

Jul 17, 2017

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: kcronshaw158366@directhisp.wakemed.org

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811419393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 HARPS MILL RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153248",
            "telephone_number": "919-850-1300",
            "fax_number": "919-850-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7019 HARPS MILL RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153248",
            "telephone_number": "919-850-1300",
            "fax_number": "919-850-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONSHAW",
        "first_name": "KIMBERLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-07178",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "0010-07178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0010-07178",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Leroy Cromartie III, MD
• Mary Agnes Cromer, LCSW
• William Campbell Cromwell, M.D.
• Emily Marye Cronin Sandifer
• Grace Elizabeth Cronk
• Lindsey Croom, ATC
• Lauryn Crosby
• Tijuana McLeod Crosby, MA
• Tyesha Crosby
• Jami Croslow, PLCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.