KRISTIN A TEAGUE (NPI# 1154383073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154383073 |
| Entity Type | Individual |
| Full Name | KRISTIN A TEAGUE |
| Credential | PA-C, LAT, ATC |
| Practice Address |
401 N Main St Winston Salem NC 27101-3804 |
| Mailing Address |
2176 Burke Meadows Rd Apt. 205 Winston Salem NC 27103-6889 |
| Practice Telephone | 3367411900 |
| Mailing Telephone | 8284858020 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
0267 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-02693 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164730487 | Kristin Kathleen Teague | Physician Assistant | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2010-09-21 |
| Street Address |
401 N MAIN ST |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27101-3804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543976 | Mh Medical Services, PC | Nurse Practitioner | 401 N Main St, Winston Salem, NC 27101-3804 | 2019-11-25 |
| 1023469228 | Premise Health | Pharmacy | 401 N Main St, Winston Salem, NC 27101-3804 | 2016-06-29 |
| 1619370400 | Chs North Carolina Medical, PC | General Practice | 401 N Main St, Winston Salem, NC 27101-3804 | 2014-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1932674090 | Erin Baxter Caldwell | Physician Assistant | 2953 Buena Vista Rd, Winston Salem, NC 27106-5724 | 2018-10-04 |
| 1376054106 | Tara Mckenzie | Physician Assistant | 1 Medical Center Blvd Hosptial Medicine, Winston Salem, NC 27157-0001 | 2017-10-19 |
| 1154866382 | Camilla Potts Leonard | Physician Assistant | 503 Thurston St, Winston Salem, NC 27103-1609 | 2016-12-26 |
| 1427591379 | Darrell Justin Ratcliffe | Physician Assistant | 1500 W Academy St, Winston Salem, NC 27103-3849 | 2016-11-27 |
| 1881825917 | Mark Elno Archambault | Physician Assistant | Department of Physician Assistant Studies, Medical Center Blvd, Winston Salem, NC 27157-1006 | 2009-08-06 |
| 1659519551 | John Clifton Harper Jr. | Physician Assistant | 206 W Clemmonsville Rd, Winston Salem, NC 27127-5124 | 2009-01-30 |
| 1710070602 | John Joseph Dewar Sr. | Physician Assistant | 1399 Ashleybrook Ln Ste 100, Winston Salem, NC 27103-2961 | 2006-10-02 |
| 1871515866 | Beth Gurley | Physician Assistant | 765 Highland Oaks Dr, Suite 100, Winston Salem, NC 27103-7101 | 2006-07-25 |
| 1801845722 | Mark A Pane | Physician Assistant | 3333 Brookview Hills Blvd Ste 104, Winston Salem, NC 27103-5661 | 2006-05-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27101 |
Please comment or provide details below to improve the information on KRISTIN A TEAGUE.
| 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.