KRISTIE REYNOLDS CLONTZ


Address: 4414 Lake Boone Trl, Suite 108, Raleigh, NC 27607-7513
Phone: 9197842300

KRISTIE REYNOLDS CLONTZ (NPI# 1427458629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427458629
Entity Type Individual
Full Name KRISTIE REYNOLDS CLONTZ
Credential FNP-C
Practice Address 4414 Lake Boone Trl
Suite 108
Raleigh
NC 27607-7513
Practice Telephone 9197842300
Enumeration Date 2014-08-26
Last Update Date 2015-09-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F0514420 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4414 LAKE BOONE TRL
SUITE 108
City RALEIGH
State NC
Zip Code 27607-7513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729772 Hugh Judd Grant Jr. Obstetrics & Gynecology 4414 Lake Boone Trl, Ste 210, Raleigh, NC 27607-7505 2005-06-10
1194175505 Terence Makoid Nurse Practitioner 4414 Lake Boone Trl, Raleigh, NC 27607-7513 2016-06-16
1578925152 Nastaran Gharkholonarehe Pharmacist 4414 Lake Boone Trl, Suite # 108, Raleigh, NC 27607-7513 2016-03-23
1689062176 Kristin Lauer Allison Nurse Practitioner 4414 Lake Boone Trl, Suite 405, Raleigh, NC 27607-7513 2015-01-06
1457752305 Centre Ob/gyn Obstetrics & Gynecology 4414 Lake Boone Trl, Suite 205, Raleigh, NC 27607-7513 2014-09-10
1154722072 Raleigh Ob/gyn Obstetrics & Gynecology 4414 Lake Boone Trl, Suite 405, Raleigh, NC 27607-7513 2014-09-10
1699181917 Jessica Hope Mullenix Nurse Practitioner 4414 Lake Boone Trl, Suite 402, Raleigh, NC 27607-7513 2014-07-08
1851706543 Wha P.k.a. Wilkerson Obgyn Medical Genetics, Ph.D. Medical Genetics 4414 Lake Boone Trl, Suite 210, Raleigh, NC 27607-7513 2014-06-22
1053660530 Jenifer Rae Briscoe-brimmage Obstetrics & Gynecology 4414 Lake Boone Trl, Suite 405, Raleigh, NC 27607-7513 2012-08-30
1861777468 Rex Hospital Inc Internal Medicine 4414 Lake Boone Trl, Suite 402, Raleigh, NC 27607-7513 2011-10-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972093144 Kyndra Lawson Behavior Technician 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 2018-05-14
1578082905 Margaret Roberts Bova Dietitian, Registered 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 2017-09-18
1184141897 Chricat Garrard Nurse Practitioner 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 2017-08-23
1487178620 John Patrick Morton Pharmacist 2411 Landmark Dr, Raleigh, NC 27607 2017-07-31
1023538857 Heather Margaret Mazzola Audiologist 7800 Lake Boone Trail, 100, Raleigh, NC 27607 2017-06-22
1790216984 North Carolina Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 2411 Landmark Drive, Raleigh, NC 27607 2017-03-21
1558819516 Corilin Nocito Meggitt Nurse Practitioner 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 2016-09-19
1942757034 Stacie Walker Obstetrics & Gynecology 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 2016-09-06
1831644533 Alisa Smajlagic Howe Nurse Practitioner 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 2016-08-23
1235598632 Yoseph Saleh Dentist 107 Minden Ln, Raleigh, NC 27607 2016-02-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417558990 Munira Amirali Ward Nurse Practitioner 2617 Valley Haven Dr, Raleigh, NC 27603-3197 2020-11-03
1710598644 Nicole Dora Licato Nurse Practitioner 7200 Creedmoor Rd Ste 208, Raleigh, NC 27613-1711 2020-08-13
1316561178 Mintoria Lynette Stockton Nurse Practitioner 8332 Mcguire Dr, Raleigh, NC 27616-5682 2020-06-07
1700407103 Sadonna Marlene Sawyer Nurse Practitioner 3311 Grove Crabtree Cres Apt 122, Raleigh, NC 27613-3063 2020-04-27
1447879903 Christapher Frank Nurse Practitioner 2034 Wesvill Court, Suite 320, Raleigh, NC 28326 2020-04-14
1265065015 Shubham Tyagi Nurse Practitioner Duke Urgent Care Brier Creek, 10211 Alm Street Suite 1200, Raleigh, NC 27617-2761 2020-02-20
1073163812 Taylor Brooke Lawrence Nurse Practitioner 10208 Cerny St Ste 301, Raleigh, NC 27617-1000 2019-09-13
1811456320 Elizabeth Campbell Mcgrath Nurse Practitioner 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 2019-03-14
1922578541 Dorothy Nwizu Nurse Practitioner 608 Kavkaz St, Raleigh, NC 27610-3176 2018-11-26
1265900013 Patricia-marie Edge Odom Nurse Practitioner 3000 New Bern Ave Ste G100, Raleigh, NC 27610-1231 2018-11-09
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Competitor

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City RALEIGH
Zip Code 27607

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Dataset Information

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.

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