Caroline Wambui Kinge

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5017028 Issued in NC

Practice address

2204 Lower Lake Rd
Wake Forest, NC 27587-3462

Phone

(919) 630-3475

NPI assigned

Sep 23, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holly Hill Hospital LLCGroup PAC ID 7810806650, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holly Hill Hospital LLC

  • Psychiatric Hospital
  • Raleigh, NC
  • NPI 1518037233

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1013630003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LOWER LAKE RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 LOWER LAKE RD",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873462",
            "telephone_number": "919-630-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGE",
        "first_name": "CAROLINE",
        "middle_name": "WAMBUI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5017028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Lee King, MSSA, LCSWA
• Nancy E King, M.S., O.T.
• Nicole King, LCSW
• Tran Ngoc Bao King, DNP, CRNA
• Kingdom Reserves Psychiatry
• Andrea Kinnaugh, LMFT
• Meredith Anne Kinney, DPT
• Kenneth W. Kirby Jr., DPT, CSCS
• Lauren Kircheval, MA, CCC/SLP
• Glenn A, Klaus, O.D.

• Psychiatric/Mental Health Nurse Practitioner in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.