9501387
Active
No
09/16/1995
11/29/2026
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Baer, Lauren Endee
| Nurse Practitioner |
Active
|
07/19/2025
|
|
|
Booth, Kelsey Copeland
| Nurse Practitioner |
Active
|
10/18/2023
|
|
|
Buglione, Michael Dean
| Physician Assistant |
Active
|
11/04/2025
|
|
|
Burton, Shelby Rae
| Physician Assistant |
Active
|
04/11/2023
|
|
|
Carey, Bryan James
| Physician Assistant |
Active
|
06/29/2021
|
|
|
Casanova, Judith
| Physician Assistant |
Active
|
07/23/2024
|
|
|
Corcoran, Alexander James
| Physician Assistant |
Active
|
03/20/2022
|
|
|
Dishroon, Bonnie Lynn
| Nurse Practitioner |
Active
|
12/10/2024
|
|
|
Edwards, Mary Dale
| Nurse Practitioner |
Active
|
11/14/2024
|
|
|
Griggs, Jeri Denise
| Nurse Practitioner |
Active
|
06/27/2021
|
|
|
Lancsek, Lori Ann
| Nurse Practitioner |
Active
|
10/31/2022
|
|
|
Moore, Clayton Ray
| Physician Assistant |
Active
|
10/05/2018
|
|
|
Reece, Christopher Ryan
| Nurse Practitioner |
Active
|
05/14/2023
|
|
|
Rice, Kenneth Coleman
| Physician Assistant |
Active
|
04/11/2023
|
|
|
Schuster, Rikki Rose
| Physician Assistant |
Active
|
06/08/2021
|
|
|
Shoemaker, Kelly Ann
| Nurse Practitioner |
Active
|
05/23/2021
|
|
|
Smith, Alyssa Annamarie
| Physician Assistant |
Active
|
02/08/2023
|
|
|
Smith, Anne Maria
| Nurse Practitioner |
Active
|
05/25/2021
|
|
|
Turner, Marina Igorevna
| Nurse Practitioner |
Active
|
04/15/2024
|
|
|
Waters, Valerie Lynne
| Nurse Practitioner |
Active
|
02/11/2025
|
|
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Outer Banks Family Medicine Kitty Hawk
5120 N. Croatan Highway
Kitty Hawk, NC 27949
252-449-5780
Information
Mon-Fri
I practice primarily adult family medicine serving a primarily geriatric population. Services include comprehensive management or co-management with specialists of chronic disease. I am also available for the care of minor acute medical problems.
All
All
Yes
Yes
Yes
Yes
Medical School
| School | Graduation |
| East Carolina University | 1994 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| Roanoke-Chowan Hospital | Family Practice |
NC, US
| Residency | 1996 |
| Pitt County Memorial Hospital | Family Practice |
NC, US
| Internship | 1994 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Family Medicine | 2013 |
Area of Practice
| Area Of Practice | Primary |
| Family Medicine | Yes |
Current Membership in Medical Professional Organizations
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| None Reported |
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |