Kristie N Anderson, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · Morganton, NC
NPI 1851695704 · NPPES record last updated Jan 7, 2011
Key facts
- NPI
- 1851695704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 5004070 (NC)
- Practice address
- 100 Medical Heights Dr
Morganton, NC 28655-5197 - Phone
- (828) 433-4484
- NPI assigned
- Jan 7, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5004070 | NC | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Pediatrics PA | Past | Accepting new patients |
Interoperability endpoints
- kristie.anderson.1@956.direct.athenahealth.com
- https://api.platform.athenahealth.com/956/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 5004070 | NC | Yes |
Addresses
Primary practice location
100 Medical Heights Dr
Morganton, NC 28655-5197
Mailing address
100 Medical Heights Dr
Morganton, NC 28655-5197
Phone (828) 433-4484
Other providers in Morganton, NC
- Florence Amoia
- Nicholas Andal
- Carey Elizabeth Anderson-Corcoran
- Alyson M Anderson
- Jacob Stewart Anderson
- Larry G Anderson
- Lisa Maria Andres
- Anesthetix of Lexington, PLLC
- Angelic Touch
- Keri Elizabeth Anthony
All providers in Morganton, NC · Pediatric Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.