KAITLIN CLARK OSBOURN (NPI# 1518243328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518243328 |
| Entity Type | Individual |
| Full Name | KAITLIN CLARK OSBOURN |
| Credential | PA-C |
| Practice Address |
700 E Morehead St Ste 300 Charlotte NC 28202-2788 |
| Practice Telephone | 7043347800 |
| Mailing Telephone | 7043347800 |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0010-03194 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
700 E MOREHEAD ST STE 300 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28202-2788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315499 | Ole Sami Aassar | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2005-06-13 |
| 1841675873 | Shelley Fleming | Physician Assistant | 700 E Morehead St, Ste 300, Charlotte, NC 28202 | 2015-07-20 |
| 1871853317 | Brittany Ann Sugimoto | Physician Assistant | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2012-05-17 |
| 1316232697 | Jessica Matthews Belk | Physician Assistant | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2011-06-14 |
| 1720379035 | Amy Vinod Chudgar | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2011-04-21 |
| 1780902841 | John Clyde Childress IIi | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2010-05-13 |
| 1265757728 | Daniel P Seeburg | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2010-03-28 |
| 1174850713 | Angela Nash | Physician Assistant | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2009-11-03 |
| 1194952267 | Aaron Heinrich Baer | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2009-06-16 |
| 1366678450 | Taylor James Stone | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2009-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609418425 | Monarch | Community/Behavioral Health | 215 North Pine Street Unit 705, Charlotte, NC 28202 | 2019-10-14 |
| 1396211892 | Brooke Graham | Behavior Technician | 107 New Edition Court Carey, Raleigh, NC 28202 | 2018-10-23 |
| 1740704352 | Targetcare, Inc. | Health Educator | 831 E. Morehead Street, Suite 900, Charlotte, NC 28202 | 2017-07-26 |
| 1659828291 | Reserve Health, PC | Family Medicine | 135 W 10th St, Charlotte, NC 28202 | 2016-09-01 |
| 1275905887 | Tameka Wade Brewington | Counselor | 615 E 6th St Ste 112, Charlotte, NC 28202 | 2015-10-22 |
| 1962815159 | Teisha Miller | Social Worker | 700 N. Tryon Street, Charlotte, NC 28202 | 2014-06-05 |
| 1699193672 | Elizabeth Ann Peterson-vita | Psychologist | 700 East Stonewall Street, Suite 714, Charlotte, NC 28202 | 2014-04-07 |
| 1942631437 | Avery Sales | Durable Medical Equipment & Medical Supplies | 103 W Morehead St, Charlotte, NC 28202 | 2013-12-09 |
| 1801236484 | Annette Goodman | Counselor | 415 E. Trade Street, Charlotte, NC 28202 | 2013-06-27 |
| 1174960181 | Jennifer D'silva | Dentist | 210 E Trade St # 484, Charlotte, NC 28202 | 2013-05-30 |
| Find all providers in zip 28202 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396351607 | Michael James Blackwell | Physician Assistant | 501 Billingsley Rd Ste B, Charlotte, NC 28211-1009 | 2020-09-22 |
| 1598371320 | Jonathan Byron Lively | Physician Assistant | 1000 Blythe Blvd Fl 3, Charlotte, NC 28203-5812 | 2020-09-17 |
| 1902415532 | Jacqueline Ellen Leyrer | Physician Assistant | 2630 E 7th St Ste 200, Charlotte, NC 28204-4319 | 2020-07-29 |
| 1750908380 | Whitney Debroy | Physician Assistant | 125 W Tremont Ave Unit 726, Charlotte, NC 28203-5551 | 2020-06-30 |
| 1972129302 | Ashley Nicole Short | Physician Assistant | 1022 E Worthington Ave, Charlotte, NC 28203-5760 | 2020-06-22 |
| 1558985176 | Courtney Claugus | Physician Assistant | 300 E Park Ave Unit 7, Charlotte, NC 28203-4774 | 2020-05-29 |
| 1467071738 | Patrick James Quinn | Physician Assistant | 2036 Millerton Ave Apt 4311, Charlotte, NC 28208-5290 | 2020-04-15 |
| 1225660301 | Sunil Ranchhod Ghodasara | Physician Assistant | 1001 Blythe Blvd Ste 403, Charlotte, NC 28203-5863 | 2020-02-06 |
| 1225668601 | Emily Rebecca Markey | Physician Assistant | 355 W Mlk Blvd Apt 1112, Charlotte, NC 28202-0043 | 2020-01-24 |
| 1639719586 | Abosede Elizabeth Adamson | Physician Assistant | 3101 Amesbury Hill Dr, Charlotte, NC 28269-8951 | 2020-01-08 |
| Find all providers in CHARLOTTE | ||||
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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.