Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Khadija Trotter Faulkner, RN

Individual provider Registered Nurse · NPI 1154013035

Khadija Trotter Faulkner, RN is a Certified Registered Nurse Anesthetist (CRNA) in Charlotte, North Carolina. Qualified in 2024, 2 years ago. Practices with Chs Anesthesia Services Group Inc, a 737-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

10628 Park Rd
Charlotte, NC 28210-8407
Phone: (704) 667-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 149589 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 322041 (NC)

Record details

NPI number1154013035
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedMay 22, 2023
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Chs Anesthesia Services Group Inc — 737 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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