MR. KEVIN CHARLES STAPLES (NPI# 1124426218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124426218 |
| Entity Type | Individual |
| Full Name | MR. KEVIN CHARLES STAPLES |
| Credential | CRNA |
| Practice Address |
10628 Park Rd Charlotte NC 28210-8407 |
| Mailing Address |
4400 Golf Acres Dr Ste A Charlotte NC 28208-5906 |
| Practice Telephone | 7046671000 |
| Mailing Telephone | (704) 512-6428 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 220418 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5025 Airport Center Pkwy, Bld L Suite W9, Charlotte, NC 282085885 | 7045124194 |
| Street Address |
10628 PARK RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499279 | Rajesh Sakala | Hospitalist | 10628 Park Rd, Charlotte, NC 28210-8407 | 2005-06-30 |
| 1891393088 | Kedesse Yemane | Nurse Practitioner | 10628 Park Rd, Charlotte, NC 28210-8407 | 2020-10-11 |
| 1922628379 | Lisa Land | Registered Nurse | 10628 Park Rd, Charlotte, NC 28210-8407 | 2020-04-24 |
| 1427687888 | Marina Maystruk | Registered Nurse | 10628 Park Rd, Charlotte, NC 28210-8407 | 2020-04-07 |
| 1346889649 | Reinaldo Livoti | Physician Assistant | 10628 Park Rd, Charlotte, NC 28210-8407 | 2020-01-03 |
| 1407495385 | Garrett West | Registered Nurse | 10628 Park Rd, Charlotte, NC 28210-8407 | 2019-12-25 |
| 1497304927 | Jordan Felsberg | Physical Medicine & Rehabilitation | 10628 Park Rd, Charlotte, NC 28210-8407 | 2019-09-07 |
| 1740848100 | Carolinas Physicians Network Inc | Obstetrics & Gynecology | 10628 Park Rd, Charlotte, NC 28210-8407 | 2019-05-31 |
| 1568923803 | Elizabeth Curtis | Physician Assistant | 10628 Park Rd, Charlotte, NC 28210-8407 | 2019-03-28 |
| 1831669274 | Danielle Jennifer Giglio | Registered Nurse | 10628 Park Rd, Charlotte, NC 28210-8407 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1588219307 | Yerilis Ortiz Vazquez | Nurse Anesthetist, Certified Registered | 1000 Central Ave Apt 137, Charlotte, NC 28204-2273 | 2019-08-08 |
| 1730648163 | Anette Lorella Hufham | Nurse Anesthetist, Certified Registered | 2805 Heathstead Pl, Charlotte, NC 28210-7160 | 2019-03-15 |
| 1528570553 | Justin Gray Clayton | Nurse Anesthetist, Certified Registered | 3308 Selwyn Farms Ln Apt 1, Charlotte, NC 28209-5005 | 2017-10-31 |
| 1710499843 | Lauren Bennett | Nurse Anesthetist, Certified Registered | 6307 Tunston Ln, Charlotte, NC 28269-6915 | 2017-10-30 |
| 1124478904 | Amira Zekan | Nurse Anesthetist, Certified Registered | 1449 S Church St, Apt 231, Charlotte, NC 28203-4802 | 2016-06-13 |
| 1649668807 | Tanya Nafatyuk | Nurse Anesthetist, Certified Registered | 4513 Springside Ln, Charlotte, NC 28226-3337 | 2014-12-22 |
| 1447679493 | Katherine Nicole Bumgarner | Nurse Anesthetist, Certified Registered | 4908 S Hill View Dr, Charlotte, NC 28210-2338 | 2014-04-07 |
| 1790110419 | Nikki Danae Snodgrass | Nurse Anesthetist, Certified Registered | 8201 Healthcare Loop, Charlotte, NC 28215-7072 | 2013-09-12 |
| 1568896421 | Lisa Kathleen Jones | Nurse Anesthetist, Certified Registered | 3405 Ritch Ave, Charlotte, NC 28206-2011 | 2013-08-28 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.