Kristine Lawson Hardee, PA-C

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

103154 Issued in NC

Practice address

444 Williamson Rd
Suite E
Mooresville, NC 28117-9247

Phone

(704) 658-9779

Fax

(704) 658-9773

NPI assigned

Oct 4, 2005

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Hardee Family Medicine PA

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1881640035
  Medicare reassignment
• Carolina Digestive Health Associates, PA

  dba Carolina Digestive Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Charlotte, NC
  • NPI 1063584415
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1902893068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 WILLIAMSON RD",
            "address_2": "SUITE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179247",
            "telephone_number": "704-658-9779",
            "fax_number": "704-658-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 WILLIAMSON RD",
            "address_2": "SUITE E",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179247",
            "telephone_number": "704-658-9779",
            "fax_number": "704-658-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDEE",
        "first_name": "KRISTINE",
        "middle_name": "LAWSON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "103154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2753110A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Corazzo Hansen, R.PH.
• Harbor Internal Medicine
• Harbor Internal Medicine PLLC
• Harborside Pediatrics, PLLC
• Hardee Family Medicine PA
• Michael Wayne Hardee, M.D.
• Jennifer Noelle Hardin, M.S. CCC SLP
• Damian Tremaine Hardison
• Abigail Hardy-Espinal, PA
• Lee-Marie Davis Harkey, FNP-C

• Family Medicine Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.