KRYSTLE KVALHEIM MCCARTHY (NPI# 1174052120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174052120 |
| Entity Type | Individual |
| Full Name | KRYSTLE KVALHEIM MCCARTHY |
| Other Name | KRYSTLE DANILLE KVALHEIM |
| Credential | NP-C |
| Practice Address |
225 Candler Dr Ste 300 Savannah GA 31405-6091 |
| Mailing Address |
5400 Sutlive St Savannah GA 31405-4721 |
| Practice Telephone | 9123546187 |
| Mailing Telephone | 9123546187 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
RN215848 | GA | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN215848 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003192231B | 05 | |
| GA | GA RN LICENSE | RN215848 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16741 Highway 67 Ste B, Statesboro, GA 304582529 | 9123546187 | |
| 459 Highway 119 S Ste B, Springfield, GA 313293021 | 9123546187 | |
| 5400 Sutlive St, Savannah, GA 314054721 | 9123546187 | 9123559807 |
| 225 Candler Dr Ste 300, Savannah, GA 314056091 | 9123546187 | |
| 8 Okatie Center Blvd S, Okatie, SC 299097532 | 8437054848 | 9123549807 |
| Street Address |
225 CANDLER DR STE 300 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649321654 | Patricia Lucille Emfinger | Physician Assistant | 225 Candler Dr Ste 300, Savannah, GA 31405-6091 | 2007-01-16 |
| 1336646363 | Caroline Fore Turner | Nurse Practitioner | 225 Candler Dr Ste 300, Savannah, GA 31405-6091 | 2018-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
| Find all providers in zip 31405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316820 | Odyne Rose Lacossiere-dorvilus | Nurse Practitioner | 30 Myrtlewood Dr, Savannah, GA 31405-1024 | 2020-11-06 |
| 1952900383 | Micaiah Mitchell | Nurse Practitioner | 10612 Middleground Rd Apt 513, Savannah, GA 31419-1268 | 2020-10-17 |
| 1104424712 | Yolanda Michelle Miller | Nurse Practitioner | 1651 Mckinnon Dr, Savannah, GA 31404-2319 | 2020-10-15 |
| 1730795386 | Shanika Graham | Nurse Practitioner | 2330 Coakley St, Savannah, GA 31404-4947 | 2020-09-18 |
| 1508479775 | Tonya L Creasy | Nurse Practitioner | 170 Barker Dr, Savannah, TN 38372-8419 | 2020-08-28 |
| 1356952394 | Elizabeth Woods Hammond | Nurse Practitioner | 107 W Liberty St Apt 6, Savannah, GA 31401-3965 | 2020-08-13 |
| 1740898915 | Bryan S Christain | Nurse Practitioner | 340 Hodgson Ct Ste 2, Savannah, GA 31406-1523 | 2020-07-14 |
| 1841814753 | Billie Sweeney | Nurse Practitioner | 134 Horse Creek Rd, Savannah, TN 38372-2984 | 2020-06-05 |
| 1609401140 | Malika Anderson Batie | Nurse Practitioner | 1632 Cloverdale Dr, Savannah, GA 31415-7814 | 2020-03-05 |
| 1760017206 | Evelia Johnsen | Nurse Practitioner | 11702 Mercy Blvd Ste 2g, Savannah, GA 31419-1777 | 2020-03-05 |
| Find all providers in SAVANNAH | ||||
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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.