2011-01285
Active
No
08/01/2011
04/05/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Bartock, Dawn Jennifer
| Nurse Practitioner |
Active
|
05/10/2022
|
|
|
Brown, Lauren Calder
| Nurse Practitioner |
Active
|
08/08/2026
|
|
|
Buchanan, Laura Icenhour
| Physician Assistant |
Active
|
06/30/2022
|
|
|
Caudill, Elizabeth Anne
| Nurse Practitioner |
Active
|
07/11/2026
|
|
|
Davis, Shannon Newton
| Nurse Practitioner |
Active
|
04/05/2022
|
|
|
Gaither, Grace Elizabeth
| Nurse Practitioner |
Active
|
07/25/2023
|
|
|
May, Samantha Marie
| Nurse Practitioner |
Active
|
04/26/2025
|
|
|
Norris, Emily Rae
| Nurse Practitioner |
Active
|
04/01/2025
|
|
|
Pearsall, Katharine Boles
| Physician Assistant |
Active
|
07/31/2023
|
|
|
Schafer, Chelsea Mae Navarret
| Physician Assistant |
Active
|
01/12/2022
|
|
|
Tisera, Elise Bailey
| Nurse Practitioner |
Active
|
12/12/2023
|
|
|
Yanicko, Meghan Elise
| Physician Assistant |
Active
|
02/15/2023
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Carolinas Medical Center |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Levine Children's Hospital
1001 Blythe Blvd
MCP Suite 3000
Charlotte, NC 28203
704-381-9900
Information
Medical School
| School | Graduation |
| Duke University School of Medicine | 2008 |
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 |
| Duke University Medical Center | Other - Pediatric hematology/oncology |
NC, US
| Fellowship | 2014 |
| Duke University Medical Center | Pediatrics |
NC, US
| Residency | 2011 |
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 |
| Pediatric Hematology-Oncology | 2015 |
| Pediatrics | 2012 |
Area of Practice
| Area Of Practice | Primary |
| Hematology/Oncology | |
| Pediatric Hematology-Oncology | Yes |
| Pediatrics | |
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 |