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

NPI Status: Active since September 20, 2011

Contact Information

1350 S KINGS DR
CHARLOTTE, NC
ZIP 28207
Phone: (704) 446-1422
Fax: (704) 446-1582

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics
  • Accepts Insurance

About JUSTINE TYE

This page provides the complete NPI Profile along with additional information for Justine Tye, a provider established in Charlotte, North Carolina with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1366724098 assigned on September 2011. The practitioner's primary taxonomy code is 363LP0200X with license number 160512 (NC). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1366724098
Provider Name
MRS. JUSTINE KOERNER TYE CPNP
Gender
Female
Entity Type
Individual
Location Address
1350 S KINGS DR CHARLOTTE, NC 28207
Location Phone
(704) 446-1422
Location Fax
(704) 446-1582
Mailing Address
PO BOX 601372 CHARLOTTE, NC 28260
Mailing Phone
(704) 446-1422
Mailing Fax
(704) 446-1582
Is Sole Proprietor?
No
Enumeration Date
09-20-2011
Last Update Date
01-03-2014
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A nurse practitioner (NP) like Justine Tye is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
160512
License State
NC

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

5005317 (NC)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard A | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors - HMO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Gold Standard A | Statewide Doctors - HMO
  • Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors - HMO
  • Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
NCF532AMEDICARE PIN (08)NC 
NP2580MEDICAID (05)SC 
1366724098MEDICAID (05)NC 
1558308080MEDICAID (05)NC 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366724098, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 4 + 2 + 8 + 0 + 1 + 8 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1366724098.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist (Pharmacotherapy)
1350 S KINGS DR, CMC MYERS PARK PHARMACY SUITE 101
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR, SUITE 101
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Clinic/Center
1350 S KINGS DR
CHARLOTTE, NC 28207
Clinic/Center
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR, MYERS PARK CLINIC PHARMACY
CHARLOTTE, NC 28207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366724098, enumerated as an "individual" on September 20, 2011.

The provider is located at 1350 S KINGS DR CHARLOTTE, NC 28207 and the phone number is (704) 446-1422.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC, Medicare and. Please consult your insurance carrier or call the provider to verify.