Active NPI
Kimberly Michele Aycock, RRT, RCP
- Registered Respiratory Therapist
- Garner, NC
National Provider Identifier
1154601664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 5047
- Practice address
- 343 Technology Dr
Suite 1110
Garner, NC 27529-7949 - Phone
- (919) 780-5900
- Fax
- (919) 780-5905
- NPI assigned
- Aug 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 5047 | NC | Primary |
| Pulmonary Diagnostics Registered Respiratory Therapist | 2279P1004X |
Addresses
Primary practice location
343 Technology Dr
Suite 1110
Garner, NC 27529-7949
Mailing address
343 Technology Dr
Suite 1110
Garner, NC 27529-7949
Phone (919) 780-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A-5047 | Other | NC | NORTH CAROLINA RESPIRATORY CARE BOARD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ez Diagnostics, Inc. | Pulmonary Diagnostics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Garner, NC
- NPI 1831494988
Pulmonary Diagnostics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314576000000",
"number": "1154601664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 TECHNOLOGY DR",
"address_2": "SUITE 1110",
"city": "GARNER",
"state": "NC",
"postal_code": "275297949",
"telephone_number": "919-780-5900",
"fax_number": "919-780-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 TECHNOLOGY DR",
"address_2": "SUITE 1110",
"city": "GARNER",
"state": "NC",
"postal_code": "275297949",
"telephone_number": "919-780-5900",
"fax_number": "919-780-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYCOCK",
"first_name": "KIMBERLY",
"middle_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "RRT, RCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-29",
"last_updated": "2011-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "NC",
"license": "5047",
"primary": true
},
{
"code": "2279P1004X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA RESPIRATORY CARE BOARD",
"identifier": "A-5047",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Garner, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.