MRS. KRISTEN SHAHEEN WILLIAMS (NPI# 1588051981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588051981 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN SHAHEEN WILLIAMS |
| Other Name | MS. KRISTEN FRANCES SHAHEEN |
| Credential | PA-C |
| Practice Address |
270 Copperfield Blvd Ne Suite 102 Concord NC 28025-2441 |
| Mailing Address |
270 Copperfield Blvd Ne Ste 102 Concord NC 28025-2443 |
| Practice Telephone | 7047866521 |
| Mailing Telephone | 2529040625 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-05568 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116606 | Kristen Williams | Chore Provider | 1002 Beulah Ave, Tylertown, MS 39667-2545 | 2020-08-24 |
| 1508413121 | Kristen Williams | Social Worker | 6530 Mercantile Dr W, Frederick, MD 21703-1836 | 2019-08-19 |
| 1659835072 | Kristen Nicole Williams | Physician Assistant | 26 Portsmouth Ct N, Falling Waters, WV 25419-1430 | 2019-01-30 |
| 1790238384 | Kristen Williams | Counselor | 14 N Main St Ste 5007, Barre, VT 05641-4197 | 2016-07-29 |
| 1275902421 | Kristen Kellie Williams | Specialist/Technologist | 1150 E G St, Ontario, CA 91764-3959 | 2015-09-17 |
| 1588055289 | Kristen Williams | Nurse's Aide | 57 Midtown Cir, Box 925, Honaker, VA 24260 | 2015-02-17 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1265775589 | Kristen I Williams | Social Worker | 2033 Gateway Pl, Suite 500, San Jose, CA 95110-3709 | 2013-04-04 |
| 1669782272 | Kristen Slavick Williams | Speech-Language Pathologist | 391 Lloyd Rd, Euclid, OH 44132-1645 | 2010-10-15 |
| 1548828809 | Kristen Williams | Behavior Technician | 612 S Myrtle Ave Ste 100, Monrovia, CA 91016-3406 | 2019-06-02 |
| Street Address |
270 COPPERFIELD BLVD NE SUITE 102 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248208 | Jerome Nymberg IIi | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2005-10-06 |
| 1427500354 | Tara Bush | Physician Assistant | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2016-10-26 |
| 1013462894 | Shannon Elizabeth Rudolph | Pharmacist | 270 Copperfield Blvd Ne, Suite 101, Concord, NC 28025-2441 | 2016-08-22 |
| 1215481510 | Cody Clifton | Pharmacist | 270 Copperfield Blvd Ne, Suite 101, Concord, NC 28025-2441 | 2016-08-04 |
| 1588019798 | Megan Campbell | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2016-04-26 |
| 1316322340 | Desiree Gaines | Pharmacist | 270 Copperfield Blvd Ne, Concord, NC 28025-2441 | 2015-07-20 |
| 1437536489 | May Royer | Family Medicine | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2015-04-29 |
| 1558756155 | Rachel Koontz | Nurse Practitioner | 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025-2441 | 2015-03-31 |
| 1750799375 | Caroline Traylor | Pharmacist | 270 Copperfield Blvd Ne, Concord, NC 28025-2441 | 2014-07-28 |
| 1619385523 | Harskin Hayes Jr. | Pharmacist | 270 Copperfield Blvd Ne, Concord, NC 28025-2441 | 2014-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1083252357 | Kelsey Ann Rothenberg | Physician Assistant | 284 Executive Park Dr Ste 110, Concord, NC 28025-1834 | 2019-12-17 |
| 1336557644 | Brian Daniel II | Physician Assistant | 2380 Salvio St, Concord, CA 94520-2193 | 2014-07-30 |
| 1447529573 | Sharon Yvonne Leavitt | Physician Assistant | 2095 Diamond Blvd Ste B150, Concord, CA 94520-5832 | 2011-12-19 |
| 1467588087 | Lynde Rouche | Physician Assistant | 1260 Hale Dr, Concord, CA 94518-1516 | 2007-02-26 |
| 1114069259 | Svetlana Alexander Lisovskiy | Physician Assistant | 2425 East St Ste 15, Concord, CA 94520-1926 | 2007-02-13 |
| 1457360802 | Alan D Parzick | Physician Assistant | 264 Pleasant Street, Concord, NH 03301-2551 | 2006-08-05 |
| 1013973858 | Jeniane L. Rathburn | Physician Assistant | 201 E Main Street, Concord Health Center, Concord, VT 05824-0355 | 2006-04-21 |
| 1740245224 | Alison Jean Dominguez | Physician Assistant | 1070 Vinehaven Dr Ne, Concord, NC 28025-2438 | 2006-04-19 |
| 1386611895 | David Alan Johnson | Physician Assistant | 219 Le Phillip Ct, Concord, NC 28025-2900 | 2006-03-02 |
| Find all providers in CONCORD | ||||
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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.