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MRS. JUSTINE KOERNER TYE CPNP
NPI 1366724098
Nurse Practitioner - Pediatrics in Charlotte, NC

Active since September 20, 2011
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1422(704) 446-1582 Get Directions Write a Review

NPPES record last updated: January 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Justine Koerner Tye Cpnp NPPES

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

MRS. JUSTINE KOERNER TYE CPNP (NPI 1366724098) is an individual pediatrics provider in Charlotte, North Carolina, licensed in North Carolina (160512) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1366724098
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. JUSTINE KOERNER TYECredential: CPNP
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 601372Charlotte, NC 28260-1372 · (704) 446-1422 · Fax (704) 446-1582
Phone(704) 446-1422
Fax(704) 446-1582
Sole ProprietorNo
Enumeration DateSeptember 20, 2011
Last NPPES UpdateJanuary 3, 2014
✔ NPI 1366724098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NC · 160512✔ Licensed in NC · 5005317
1350 S KINGS DR, Charlotte, NC 28207
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Other Identifiers 4

Medicare PINNCF532ANC
MedicaidNP2580SC
Medicaid1366724098NC
Medicaid1558308080NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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.

KRISTINA JASMIN HARRELL MD
Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1422
WILLIAM LANE JR. MD
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
LYNN AMY BOARDMAN MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ALKA H PATEL PHARMD
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1405
PAULA JEANETTE LASTORIA FNP
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1255
GRANT BLANCHARD MD
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544
MRS. ASHLYNN BRISBEN OVERCASH NP
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-4490
STACEY HAYNES ARCHER CNM
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207
Mecklenburg County (704) 446-1544

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 Justine Tye's NPI number?

The NPI number for Justine Tye is 1366724098. It was assigned to this individual provider in the NPPES registry on September 20, 2011.

Where is Justine Tye located?

Justine Tye practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1422.

What is Justine Tye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Justine Tye accept?

Health plans from Blue Cross and Blue Shield of NC list Justine Tye as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justine Tye was last updated on January 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.