Elizabeth Renee Lynn Kinsall

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

46 Wood Chuck LN
Fort Ashby, WV 26719-6940

Phone

(240) 727-5333

NPI assigned

Feb 22, 2021

Last updated

Feb 22, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1053905059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WELSH HILL RD",
            "city": "FROSTBURG",
            "state": "MD",
            "postal_code": "215322332",
            "telephone_number": "240-727-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WOOD CHUCK LN",
            "city": "FORT ASHBY",
            "state": "WV",
            "postal_code": "267196940",
            "telephone_number": "240-727-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINSALL",
        "first_name": "ELIZABETH",
        "middle_name": "RENEE LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald J Haggerty, DDS
• Tracey Lynn Hoblitzell, HIS
• Mary E Jacobson, LPC CCAC
• Melissa Lynn Jessen
• Erin Q King, COTA
• Miranda Kott
• Kelsey Lapp
• Raymond Lolli
• Teresa Louise Lucas
• Kateasta Nicole Malloy, PTA

• Community Health Worker in Fort Ashby, WV
• Providers in Fort Ashby, WV by specialty
• Community Health Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.