Individual
MISS CARISSA LEIGH HEIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
301 HAWTHORNE LN, CHARLOTTE, NC 28204
(704) 316-5100
(704) 316-5101
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5100
(704) 316-5101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04977
NC
363AS0400X
Surgical Physician Assistant
2128
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529055
—
TN
05
—
1689836306
—
NC
01
—
187725
BCBS NC
NC
01
—
P01120793
RR MEDICARE
TN
01
—
P01423324
MDCR RR
NC
Enumeration date
06/25/2008
Last updated
10/26/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us