Individual provider Active NPI

Kristie Sivells

  • Home Health Aide
  • Mint Hill, NC
National Provider Identifier
1992513436
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HC7938 Issued in NC
Practice address
4614 Wilgrove Mint Hill Rd Ste I
Mint Hill, NC 28227-0124
Phone
(704) 719-3133
NPI assigned
Dec 30, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HC7938 NC Primary

Addresses

Primary practice location

4614 Wilgrove Mint Hill Rd Ste I
Mint Hill, NC 28227-0124

Mailing address

4614 Wilgrove Mint Hill Rd Ste I
Mint Hill, NC 28227-0124
Phone (704) 719-3133

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HC7938NCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Sivells Ventures Corp In Home Supportive Care CurrentSince Jun 8, 2025 Accepting new patients

Locations

4614 Wilgrove Mint Hill Rd
Ste I
Mint Hill, NC 28227
Phone (704) 719-3133

Organizations & group practices 1

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": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1992513436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 WILGROVE MINT HILL RD STE I",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282270124",
            "telephone_number": "704-719-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 WILGROVE MINT HILL RD STE I",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282270124",
            "telephone_number": "704-719-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVELLS",
        "first_name": "KRISTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC7938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.