MRS. ERICA DIANE KLOSE (NPI# 1194203620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194203620 |
| Entity Type | Individual |
| Full Name | MRS. ERICA DIANE KLOSE |
| Credential | NNP |
| Practice Address |
200 Hawthorne Ln Charlotte NC 28204-2515 |
| Mailing Address |
423 Matfield Ct Monroe NC 28110-8123 |
| Practice Telephone | 7043844944 |
| Mailing Telephone | 7045027660 |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
5010808 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 HAWTHORNE LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28204-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013913128 | Patrick Aloysius Wilson | Pathology | 200 Hawthorne Ln, Presbyterian Hospital Department of Pathology, Charlotte, NC 28204-2515 | 2005-06-23 |
| 1649879479 | Lovina; Takon | Registered Nurse | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-22 |
| 1982203253 | Jaime Michelle Stanton Morris | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-10-19 |
| 1447864640 | Steven Cimijotti | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-09-04 |
| 1962015420 | Randall Lee Coffman | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-25 |
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1477171494 | Larson Vickery | Physician Assistant | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-07-07 |
| 1497378327 | Courtney Lynn Harper | Pharmacist | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-27 |
| 1760005094 | Kwame Adusei-mensah | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-21 |
| 1598388829 | Mark William Benfield | Respiratory Therapist, Registered | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263582 | Precise Home Care Service LLC | In Home Supportive Care | 1935 Baxter Street, Unit 101, Charlotte, NC 28204 | 2020-04-07 |
| 1285276253 | Shannon Miller | Counselor | 1432 E Seventh Street, Charlotte, NC 28204 | 2019-10-11 |
| 1194282202 | Madison Joann Mcgarrigle | Behavior Technician | 1401 East 7th Street, Charlotte, NC 28204 | 2019-02-25 |
| 1255802674 | Stacey D. Alston, Dds, Pa | Dentist | 1020 E. 10th St., Suite 1, Charlotte, NC 28204 | 2018-12-11 |
| 1972082097 | Kim Webb Talbert | Nurse Practitioner | Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 | 2018-08-09 |
| 1164910535 | Jesse Elijah Roberts | Counselor | 1801 E 5th Street, #208, Charlotte, NC 28204 | 2018-05-01 |
| 1336696848 | Eight Healthcare | Exclusive Provider Organization | 2455 Weddington Ave, 2110, Charlotte, NC 28204 | 2016-09-01 |
| 1225480551 | Kathleen Quintana Bradley | Physician Assistant | 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 | 2016-07-11 |
| 1184049777 | Della Franklin | Speech-Language Pathologist | 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 | 2014-02-19 |
| 1225459845 | Healing Arts Medical, Pa | Family Medicine | 335 N. Caswell Rd., Charlotte, NC 28204 | 2013-12-27 |
| Find all providers in zip 28204 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226062 | Jamie Tyo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2020-08-20 |
| 1003468844 | Samantha Mullis | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2019-07-11 |
| 1588188981 | Courtney Walton Watson | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2017-07-28 |
| 1801310321 | Lindsey Howe | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2017-07-26 |
| 1306391776 | Colleen Wells | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2016-08-16 |
| 1174981252 | Trisha L. Abernathy | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2016-02-04 |
| 1780076521 | Amanda Huffstetler Spargo | Nurse Practitioner | 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 2015-03-03 |
| 1326274713 | Debra Anne Nickerson | Nurse Practitioner | 1001 Blythe Blvd, Suite 200, Charlotte, NC 28203-5866 | 2009-05-31 |
| 1871770651 | Deborah Filkins | Nurse Practitioner | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841689056 | Sarah Mears | Nurse Practitioner | 5016 Big Creek Rd, Raleigh, NC 27613-6176 | 2015-01-13 |
| 1194067892 | Kimberly Dawn Nail | Nurse Practitioner | 101 Manning Drive, Cb# 7596, Room N4051, Chapel Hill, NC 27599-7596 | 2013-03-20 |
| 1376813881 | Catherine Simmons | Nurse Practitioner | 5524 Erwin Road Hospital N Box 100500, Durham, NC 27710-0001 | 2011-12-31 |
| 1326317686 | Monica Koch Jakubowski | Nurse Practitioner | 5524 Duke Hospital N, Box 100500, Durham, NC 27710-0001 | 2011-12-15 |
| 1891943973 | Kay Elaine Timbreza | Nurse Practitioner | 1126 Garden Club Way, Leland, NC 28451-4133 | 2008-09-03 |
| 1962659201 | Amy Liverman Williford | Nurse Practitioner | 2100 Statonsburg Road, Greenville, NC 27834 | 2008-08-19 |
| 1003889965 | Paula Beth Roach | Nurse Practitioner | Bldg 4-2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2006-02-10 |
| 1275146417 | Kristi Lynn Dixon | Nurse Practitioner | 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | 2020-08-27 |
| 1295343515 | Lauren Michelle Hughes | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27514-4220 | 2020-07-22 |
| 1548886849 | Stephanie Dawn Chambers | Nurse Practitioner | 1 Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2020-06-23 |
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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.