KRYSTIN B HEPBURN (NPI# 1437708310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437708310 |
| Entity Type | Individual |
| Full Name | KRYSTIN B HEPBURN |
| Credential | AGNP-C |
| Practice Address |
2711 X Ray Dr Ste 3701 Gastonia NC 28054-7491 |
| Mailing Address |
Po Box 744786 Atlanta GA 30374-4786 |
| Practice Telephone | 9808349600 |
| Practice Fax Number | 9808349605 |
| Mailing Telephone | 7048342450 |
| Mailing Fax Number | 7046715331 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 258915 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
258915 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
258915 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2711 X RAY DR STE 3701 |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487609319 | James G Mcgrath | Internal Medicine | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054 | 2006-05-22 |
| 1679074181 | Caromont Medical Group, Inc. | Internal Medicine | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054-7491 | 2018-02-21 |
| 1306217278 | Ellen Moore Adams | Nurse Practitioner | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054-7491 | 2015-10-16 |
| 1760829873 | Bolanle Mariam Gbadamosi | Internal Medicine | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054-7491 | 2013-05-30 |
| 1003075490 | Louise Zhou | Internal Medicine | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054 | 2008-06-02 |
| 1629286190 | Lia M. Spina | Internal Medicine | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054 | 2007-05-18 |
| 1124234901 | Sejal Dave | Internal Medicine | 2711 X Ray Dr Ste 3701, Gastonia, NC 28054 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972163269 | Amanda Leigh Mosteller | Nurse Practitioner | 2555 Court Dr Ste 200, Gastonia, NC 28054-2178 | 2019-06-18 |
| 1629587167 | Heidi Davies Chappell | Nurse Practitioner | 2555 Court Dr Ste 200, Gastonia, NC 28054-2178 | 2017-09-27 |
| 1821526526 | Marion Z Lewis | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2017-05-25 |
| 1306211156 | Kelley Privett Thompson | Nurse Practitioner | 1875 Remount Rd, Gastonia, NC 28054-7413 | 2015-12-04 |
| 1972993574 | Nicole Clark-ward | Nurse Practitioner | 201 W 2nd Ave Ste A, Gastonia, NC 28052-4091 | 2015-02-03 |
| 1639596851 | Lashonda Barnette | Nurse Practitioner | 1021 X Ray Dr, Gastonia, NC 28054-7489 | 2014-03-26 |
| 1710224332 | Christina Xiong | Nurse Practitioner | 706 Summit Crossing Pl, Gastonia, NC 28054-2175 | 2013-01-16 |
| 1346513223 | Katerina Maria Jones | Nurse Practitioner | 2544 Court Dr, Ste F, Gastonia, NC 28054-3450 | 2012-02-22 |
| 1114290277 | Courtney Mccarty Day | Nurse Practitioner | 1021 X Ray Dr, Gastonia, NC 28054-7489 | 2012-02-20 |
| 1265661797 | Angelique Carolyn Meinhardt | Nurse Practitioner | 750 Cox Rd, Gastonia, NC 28054-3481 | 2009-07-06 |
| Find all providers in GASTONIA | ||||
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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.