KRISTEN MICHELLE MUNDY (NPI# 1275083974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275083974 |
| Entity Type | Individual |
| Full Name | KRISTEN MICHELLE MUNDY |
| Other Name | KRISTEN MICHELLE STOCKFLETH |
| Credential | PA-C |
| Practice Address |
1120 Se Cary Pkwy Suite 100 Cary NC 27518-7413 |
| Practice Telephone | 9194674992 |
| Practice Fax Number | 9194819607 |
| Mailing Telephone | 9194674992 |
| Mailing Fax Number | 9194819607 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2019-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
001006767 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1120 SE CARY PKWY SUITE 100 |
| City | CARY |
| State | NC |
| Zip Code | 27518-7413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622052 | Raymond Mckay Carroll | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2005-07-13 |
| 1861926800 | Justin Akllen Meekins | Physical Therapist | 1120 Se Cary Pkwy, Suite 101, Cary, NC 27518-7413 | 2017-04-17 |
| 1437603941 | Molly M Mazich | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1326592833 | William Fogarty Iv | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-12 |
| 1114471307 | Melissa Capannola | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2016-08-05 |
| 1831581180 | Erin Clevenger | Psychologist | 1120 Se Cary Pkwy, Suite 201, Cary, NC 27518-7413 | 2015-02-24 |
| 1851781025 | Elise Caceres-mason | Physician Assistant | 1120 Se Cary Pkwy, #100, Cary, NC 27518-7413 | 2015-01-27 |
| 1518217199 | Christina K Buffington | Occupational Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2012-09-11 |
| 1235408634 | Kenneth Allen Lynnes | Physical Therapist | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2011-12-14 |
| 1407175839 | Jeremy J Miles | Orthopaedic Surgery | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2010-05-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174165914 | Valerie Nicole Mock | Physician Assistant | 2001 Weston Pkwy, Cary, NC 27513-5512 | 2019-10-14 |
| 1073951406 | Rachel Griffin | Physician Assistant | 100 Parkway Office Ct Ste 112, Cary, NC 27518 | 2013-06-07 |
| 1134447220 | Bariatric Physician Assistants of North Carolina | Physician Assistant | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511-6036 | 2010-05-13 |
| 1861672842 | Elizabeth Jane Mcdowell | Physician Assistant | 1120 Se Cary Pkwy, Suite 100, Cary, NC 27518-7413 | 2007-11-07 |
| 1689625550 | Don Michael Drinkwater | Physician Assistant | 160 Macgregor Pines Dr, Suite 310, Cary, NC 27511-6036 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174170575 | Katherine Mccullough | Physician Assistant | Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 | 2019-08-20 |
| 1740845148 | Brenda Kay Dushek | Physician Assistant | 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 | 2019-05-01 |
| 1851955579 | Morgan Elizabeth Bridgers | Physician Assistant | 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 | 2019-04-29 |
| 1265947725 | Molly Cunningham Pradhan | Physician Assistant | 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 | 2017-12-06 |
| 1497273700 | Joseph Cameron Jones | Physician Assistant | 404 Westwood Ave Ste 303, High Point, NC 27262-4315 | 2017-09-07 |
| 1871011106 | Tashianna Renee Stockton | Physician Assistant | 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 | 2017-09-07 |
| 1205365335 | Joe Gates | Physician Assistant | 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 | 2017-06-12 |
| 1023547585 | Audrey Catherine Fortezzo | Physician Assistant | 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 | 2017-06-08 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1629474978 | Gary Lee Aldrich Jr. | Physician Assistant | 103a Mcalpine Ln, Laurinburg, NC 28352-4637 | 2014-11-14 |
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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.