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MS. KATHERINE GRAHAM FERNANDEZ PA-C
NPI 1649394412
Physician Assistant - Surgical in Charlotte, NC

Active since March 19, 2007
15825 BALLANTYNE MEDICAL PL, SUITE 240, CHARLOTTE, NC 28277(704) 544-5245(704) 544-5250 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Katherine Graham Fernandez Pa-c NPPES

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

MS. KATHERINE GRAHAM FERNANDEZ PA-C (NPI 1649394412) is an individual surgical provider in Charlotte, North Carolina, licensed in North Carolina (103556) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1649394412
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. KATHERINE GRAHAM FERNANDEZCredential: PA-C
Location Address15825 BALLANTYNE MEDICAL PL, SUITE 240Charlotte, NC 28277-4652
Mailing Address15825 Ballantyne Medical Pl, Suite 240Charlotte, NC 28277-4652 · (704) 544-5245 · Fax (704) 544-5250
Phone(704) 544-5245
Fax(704) 544-5250
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 16, 2024
NPPES CertifiedAugust 16, 2024
✔ NPI 1649394412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NC · 103556
15825 BALLANTYNE MEDICAL PL, Charlotte, NC 28277
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Other Identifiers 1

Medicaid0532PASC

Other Providers at the Same Location NPPES 5

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

JACOB SCHUR PHYSICAL THERAPY
Physical Therapist
15825 BALLANTYNE MEDICAL PL
CHARLOTTE, NC 28277
Mecklenburg County (043) 233-4097
JASON P GAJDZIS PA-C
Physician Assistant
15825 BALLANTYNE MEDICAL PL, #100
CHARLOTTE, NC 28277
Mecklenburg County (704) 323-3400
ASHLEY DYCHES DEYOUNG PT
Physical Therapist
15825 BALLANTYNE MEDICAL PL, SUITE 120
CHARLOTTE, NC 28277
Mecklenburg County (704) 323-2000
GAIL STAUFFER NP-C
Nurse Practitioner
15825 BALLANTYNE MEDICAL PL, SUITE 220
CHARLOTTE, NC 28277
Mecklenburg County (704) 316-2930
HOLLY MICHELLE GANDOLFO
Occupational Therapist
15825 BALLANTYNE MEDICAL PL
CHARLOTTE, NC 28277
Mecklenburg County (980) 223-4789

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 Katherine Fernandez's NPI number?

The NPI number for Katherine Fernandez is 1649394412. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Katherine Fernandez located?

Katherine Fernandez practices at 15825 Ballantyne Medical Pl Suite 240, Charlotte, NC 28277. The listed phone number is (704) 544-5245.

What is Katherine Fernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Katherine Fernandez was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.