Active NPI
Laura Courtney Kirby
- School Psychologist
- Raleigh, NC
National Provider Identifier
1134637390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4245
- Practice address
- 4090 Barrett Dr
Raleigh, NC 27609-6604 - Phone
- (919) 672-7455
- NPI assigned
- Jan 22, 2018
- Last updated
- Jan 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4245 | NC | Primary |
Addresses
Primary practice location
4090 Barrett Dr
Raleigh, NC 27609-6604
Mailing address
4090 Barrett Dr
Raleigh, NC 27609-6604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516579200000",
"number": "1134637390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4090 BARRETT DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4090 BARRETT DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096604",
"telephone_number": "919-672-7455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "LAURA",
"middle_name": "COURTNEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-22",
"last_updated": "2018-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NC",
"license": "4245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.