Active NPI
Deborah O Krause, NP-C
- Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1902186968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 111830
- Practice address
- 101 E WT Harris Blvd
Building 1000, Suite 1110
Charlotte, NC 28262-3485 - Phone
- (704) 863-9850
- Fax
- (704) 863-9851
- NPI assigned
- Aug 23, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5005281 | NC | |
| Nurse Practitioner | 363L00000X | 111830 | NC | Primary |
Addresses
Primary practice location
101 E WT Harris Blvd
Building 1000, Suite 1110
Charlotte, NC 28262-3485
Mailing address
PO Box 601888
Charlotte, NC 28260-1888
Phone (704) 863-9850
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902186968 | Medicaid | NC | |
| NP3072 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1902186968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601888",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601888",
"telephone_number": "704-863-9850",
"fax_number": "704-863-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WT HARRIS BLVD",
"address_2": "BUILDING 1000, SUITE 1110",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282623485",
"telephone_number": "704-863-9850",
"fax_number": "704-863-9851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "DEBORAH",
"middle_name": "O",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5005281",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "111830",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902186968",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3072",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.