Individual provider Active NPI

Kehinde Kirk, FNP-C

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1043881386
Registry record updated Feb 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5014693 Issued in NC
Practice address
4101 Burlington Rd Ste D
Greensboro, NC 27405-8681
Phone
(336) 280-8301
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5014693 NC Primary

Addresses

Primary practice location

4101 Burlington Rd Ste D
Greensboro, NC 27405-8681

Mailing address

4101 Burlington Rd Ste D
Greensboro, NC 27405-8681
Phone (336) 280-8301

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211014000380 NC Practitioner - Nurse Practitioner 3375941867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4101 Burlington Rd
Suite D
Greensboro, NC 27405-8681
Phone (336) 280-8301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5014693NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pronto Health PLLC CurrentSince Oct 29, 2022 Accepting new patients
Bethany Medical Center Past Accepting new patients
Bethany Medical Center Pain Medicine Past Accepting new patients

Locations

2779 S Church St
Burlington, NC 27215

106 Paisley St
Greensboro, NC 27401
Phone (336) 617-3550

4101 Burlington Rd
Greensboro, NC 27405

4101 Burlington Rd
Ste D
Greensboro, NC 27405
Phone (336) 280-8301

4801 Glenwood Ave
Ste 200
Raleigh, NC 27612
Phone (757) 866-2715

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1043881386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 BURLINGTON RD STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274058681",
            "telephone_number": "336-280-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 BURLINGTON RD STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274058681",
            "telephone_number": "336-280-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "KEHINDE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5014693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.