KRISTINE CARGILL (NPI# 1992340376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992340376 |
| Entity Type | Individual |
| Full Name | KRISTINE CARGILL |
| Credential | NP |
| Practice Address |
G4007 W Court St Flint MI 48532-3560 |
| Mailing Address |
9224 Copper Ridge Dr Davison MI 48423-8647 |
| Practice Telephone | 8102876500 |
| Mailing Telephone | 8102876500 |
| Enumeration Date | 2019-11-09 |
| Last Update Date | 2019-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704284062 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
G4007 W COURT ST |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295752772 | Rama Devi Rao | Pain Medicine | G4007 W Court St, Suite.f, Flint, MI 48532-3560 | 2006-07-17 |
| 1306372339 | Kappel Elite LLC | Nurse Practitioner | G4007 W Court St, Ste G2, Flint, MI 48532-3560 | 2017-05-11 |
| 1356682587 | Ashish Thomas | Physical Therapist | G4007 W Court St, Suite G2, Flint, MI 48532-3560 | 2013-03-13 |
| 1013278464 | Kelly Martin | Dentist | G4007 W Court St, #d, Flint, MI 48532-3560 | 2012-06-01 |
| 1619114550 | Bernadette Aldea | Physical Therapist | G4007 W Court St, Suite #g2, Flint, MI 48532-3560 | 2009-01-14 |
| 1962656009 | New Era Physical Therapy PC | Clinic/Center | G4007 W Court St, Suite #g2, Flint, MI 48532-3560 | 2008-11-14 |
| 1184820441 | Michael A Kia Do PC | Surgery | G4007 W Court St, Suite E, Flint, MI 48532-3560 | 2007-06-25 |
| 1659497220 | David Alan Boike | Dentist | G4007 W Court St, Suite D, Flint, MI 48532-3560 | 2007-03-22 |
| 1548386121 | Shayhana Ebrahim | Dentist | G4007 W Court St, Suite D, Flint, MI 48532-3560 | 2007-03-22 |
| 1851442180 | Mark W Mattingly | Colon & Rectal Surgery | G4007 W Court St, Suite E, Flint, MI 48532-3560 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831739523 | Tiffany M Stafford | Nurse Practitioner | 5536 S Saginaw Rd, Flint, MI 48507-4421 | 2020-01-09 |
| 1184269599 | Tamela Renae Callahan | Nurse Practitioner | 20188 Ridgerock Dr, Flint, TX 75762-9335 | 2019-11-08 |
| 1164982229 | Randi Lynn Ballard-dickerson | Nurse Practitioner | 1140 S Linden Rd Bldg A, Flint, MI 48532-3437 | 2019-03-23 |
| 1710454111 | Brian Mcdermott | Nurse Practitioner | 1230 S Linden Rd Ste 4, Flint, MI 48532-3424 | 2018-10-24 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1144728593 | Matthew Thomas Evans | Nurse Practitioner | 1125 S Linden Rd Ste 900, Flint, MI 48532-4068 | 2018-01-30 |
| 1093213977 | Sandy Holland | Nurse Practitioner | 4100 Beecher Road, Flint, MI 48532-2819 | 2018-01-25 |
| 1245760883 | Melinda Sue Williams | Nurse Practitioner | 2304 Bradford Dr, Flint, MI 48507-4404 | 2017-06-15 |
| 1912340332 | Patricia Ann Ward | Nurse Practitioner | 1401 E. Court, Mott Community College Health Services, Flint, MI 48503 | 2013-04-16 |
| 1710119904 | Laura Lea Szakal | Nurse Practitioner | 1386 S Linden Rd, Flint, MI 48532-4185 | 2009-08-20 |
| Find all providers in FLINT | ||||
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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.