DENISE LYNN ELDRIDGE


Address: 200 Hawthorne Ln, Charlotte, NC 28204
Phone: 7043844010

DENISE LYNN ELDRIDGE (NPI# 1669998233) 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) 1669998233
Entity Type Individual
Full Name DENISE LYNN ELDRIDGE
Credential CPNP-PC
Practice Address 200 Hawthorne Ln
Charlotte
NC 28204
Mailing Address 5 Sandman Ct
Fleetwood
PA 19522-8992
Practice Telephone 7043844010
Mailing Telephone 4842697158
Enumeration Date 2017-08-16
Last Update Date 2018-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
289267 NC Physician Assistants & Advanced Practice Nursing Providers
N 363LP0200X Nurse Practitioner
Specialization: Pediatrics
SP017793 PA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 HAWTHORNE LN
City CHARLOTTE
State NC
Zip Code 28204

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013913128 Patrick Aloysius Wilson Pathology 200 Hawthorne Ln, Presbyterian Hospital Department of Pathology, Charlotte, NC 28204-2515 2005-06-23
1649879479 Lovina; Takon Registered Nurse 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-10-22
1982203253 Jaime Michelle Stanton Morris Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-10-19
1447864640 Steven Cimijotti Respiratory Therapist, Registered 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-09-04
1962015420 Randall Lee Coffman Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-08-25
1083226062 Jamie Tyo Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-08-20
1477171494 Larson Vickery Physician Assistant 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-07-07
1497378327 Courtney Lynn Harper Pharmacist 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-05-27
1760005094 Kwame Adusei-mensah Respiratory Therapist, Registered 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-05-21
1598388829 Mark William Benfield Respiratory Therapist, Registered 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-05-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285263582 Precise Home Care Service LLC In Home Supportive Care 1935 Baxter Street, Unit 101, Charlotte, NC 28204 2020-04-07
1285276253 Shannon Miller Counselor 1432 E Seventh Street, Charlotte, NC 28204 2019-10-11
1194282202 Madison Joann Mcgarrigle Behavior Technician 1401 East 7th Street, Charlotte, NC 28204 2019-02-25
1255802674 Stacey D. Alston, Dds, Pa Dentist 1020 E. 10th St., Suite 1, Charlotte, NC 28204 2018-12-11
1972082097 Kim Webb Talbert Nurse Practitioner Novant Health Presbyterian Medical Center Charlotte, 200 Hawthorne Lane, Charlotte, NC 28204 2018-08-09
1164910535 Jesse Elijah Roberts Counselor 1801 E 5th Street, #208, Charlotte, NC 28204 2018-05-01
1336696848 Eight Healthcare Exclusive Provider Organization 2455 Weddington Ave, 2110, Charlotte, NC 28204 2016-09-01
1225480551 Kathleen Quintana Bradley Physician Assistant 1523 Elizabeth Ave., Suite 200, Charlotte, NC 28204 2016-07-11
1184049777 Della Franklin Speech-Language Pathologist 1021 Morehead Medical Dr Ste 3300, Charlotte, NC 28204 2014-02-19
1225459845 Healing Arts Medical, Pa Family Medicine 335 N. Caswell Rd., Charlotte, NC 28204 2013-12-27
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700021060 Kawanna Torrie Skinner Nurse Practitioner 2607 West Arrowood Road, Charlotte, NC 28273-6134 2008-12-15
1982203253 Jaime Michelle Stanton Morris Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-10-19
1558995266 Dana Cuddihy Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2020-03-03
1568000214 Kristy Minor Rogers Nurse Practitioner 2607 W Arrowood Rd, Charlotte, NC 28273-6134 2019-12-12
1770126229 Victoria Ranero Nurse Practitioner 2607 W Arrowood Rd, Charlotte, NC 28273-6134 2019-10-28
1861957334 Camille Wood Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2019-02-08
1730659129 Emily Denise Holland Nurse Practitioner 2607 W Arrowood Rd, Charlotte, NC 28273-6134 2018-11-28
1598266694 Tamara Napier Nurse Practitioner 901 East Blvd, Charlotte, NC 28203-5203 2018-02-23
1285148726 Elizabeth Dreier Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2017-11-20
1942734686 Miriam Patterson Henebry Nurse Practitioner 200 Hawthorne Ln, Charlotte, NC 28204-2515 2017-04-19
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Competitor

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City CHARLOTTE
Zip Code 28204

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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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