KRISTA K. SIDELL NP
NPI 1184624751
Nurse Practitioner in Charlotte, NC

Q: What is Krista Sidell's NPI number?

The NPI number for Krista Sidell is 1184624751. It was assigned to this individual provider in the NPPES registry on July 26, 2005. The provider is also known as Krista M. Kennedy Np.

Q: What is Krista Sidell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Krista Sidell was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 26, 2005

1718 E 4TH ST, SUITE 105, CHARLOTTE, NC 28204(704) 384-7292(704) 384-8880 Get Directions Write a Review

NPPES record last updated: February 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Krista K. Sidell Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTA K. SIDELL NP (NPI 1184624751) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (900366) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1184624751

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKRISTA K. SIDELLCredential: NP

Location Address1718 E 4TH ST, SUITE 105Charlotte, NC 28204-3261

Mailing AddressPo Box 601529Charlotte, NC 28260-1529 · (704) 384-7292 · Fax (704) 384-8880

Phone(704) 384-7292

Fax(704) 384-8880

Sole ProprietorNo

Enumeration DateJuly 26, 2005

Last NPPES UpdateFebruary 7, 2013

✔ NPI 1184624751 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 900366

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1718 E 4TH ST, Charlotte, NC 28204

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Other Names 1

Former Name (1)Krista M. Kennedy Np

Other Identifiers 5

Medicare PIN2807135BNC

Medicare UPINP74291

Medicaid7005566NC

Medicare PINNC7593ANC

Medicare PIN2807135ANC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LABORATORY CORPORATION OF AMERICA HOLDINGS

Clinical Medical Laboratory

1718 E 4TH ST, SUITE 707
CHARLOTTE, NC 28204

Mecklenburg County (704) 598-7320

DR. PHILIP WILLIAM DE HOFF M. D.

Obstetrics & Gynecology

1718 E 4TH ST, SUITE 907
CHARLOTTE, NC 28204

Mecklenburg County (704) 372-4000

STEPHANIE DAWN RITCHIE PA-C

Physician Assistant (Surgical)

1718 E 4TH ST, SUITE 701
CHARLOTTE, NC 28204

Mecklenburg County (704) 316-5100

NOVANT MEDICAL GROUP

Internal Medicine (Infectious Disease)

1718 E 4TH ST, SUITE 401
CHARLOTTE, NC 28204

Mecklenburg County (704) 384-7840

JESSICA PUSKARICH NP

Nurse Practitioner

1718 E 4TH ST, SUITE 307
CHARLOTTE, NC 28204

Mecklenburg County (704) 333-1259

KAO NU LY PA-C

Physician Assistant (Surgical)

1718 E 4TH ST, SUITE 805
CHARLOTTE, NC 28204

Mecklenburg County (704) 376-5636

ROBERT BRIAN FAZIA MD

Internal Medicine (Cardiovascular Disease)

1718 E 4TH ST, SUITE 501
CHARLOTTE, NC 28204

Mecklenburg County (704) 343-9800

NOVANT HEALTH MEDICAL GROUP, LLC

Obstetrics & Gynecology

1718 E 4TH ST, SUITE 201
CHARLOTTE, NC 28204

Mecklenburg County (704) 384-0560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krista Sidell's NPI number?

The NPI number for Krista Sidell is 1184624751. It was assigned to this individual provider in the NPPES registry on July 26, 2005. The provider is also known as Krista M. Kennedy Np.

Where is Krista Sidell located?

Krista Sidell practices at 1718 E 4th St Suite 105, Charlotte, NC 28204. The listed phone number is (704) 384-7292.

What is Krista Sidell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Krista Sidell was last updated on February 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.