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

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: July 26, 2026.

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
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

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.

Clinical Medical Laboratory
1718 E 4TH ST, SUITE 707
CHARLOTTE, NC 28204
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 907
CHARLOTTE, NC 28204
Physician Assistant (Surgical)
1718 E 4TH ST, SUITE 701
CHARLOTTE, NC 28204
Internal Medicine (Infectious Disease)
1718 E 4TH ST, SUITE 401
CHARLOTTE, NC 28204
Nurse Practitioner
1718 E 4TH ST, SUITE 307
CHARLOTTE, NC 28204
Physician Assistant (Surgical)
1718 E 4TH ST, SUITE 805
CHARLOTTE, NC 28204
Internal Medicine (Cardiovascular Disease)
1718 E 4TH ST, SUITE 501
CHARLOTTE, NC 28204
Obstetrics & Gynecology
1718 E 4TH ST, SUITE 201
CHARLOTTE, NC 28204

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 with the weekly NPPES data releases published by CMS.