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

Stacia Keyunia Tate, FNP

Individual provider Nurse Practitioner · NPI 1699089862

Stacia Keyunia Tate, FNP is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2009, 17 years ago. Practices with Carolinas Physicians Network Inc, a 2,328-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Licensed in
NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9332 S Tryon St
Charlotte, NC 28273-3108
Phone: (704) 587-6700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 5717 Albemarle Rd, Charlotte, NC 28212-1634 — (704) 563-2150
  • 10210 Couloak Dr, Charlotte, NC 28216-7679 — (704) 801-2000
  • 7810 Providence Rd, Charlotte, NC 28226-2954 — (704) 543-6636
  • 5727 Prosperity Crossing Dr, Charlotte, NC 28269-2206 — (704) 863-9930

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5004759 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5004759 (NC)

Record details

NPI number1699089862
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 30, 2010
Last updated in NPPESMarch 9, 2023
Certification dateJanuary 3, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Carolinas Physicians Network Inc — 2328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Charlotte