Individual provider Active NPI

Donna Lynn Kirby, FNP-BC

  • Nurse Practitioner
  • Rural Hall, NC
National Provider Identifier
1235582297
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008774 Issued in NC
Practice address
1038 Bethania Rural Hall Rd
Rural Hall, NC 27045-9552
Phone
(336) 716-9270
Fax
(336) 702-9313
NPI assigned
Jul 14, 2016
Last updated
Dec 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5008774 NC Primary
Family Nurse Practitioner 363LF0000X 136755 NC

Addresses

Primary practice location

1038 Bethania Rural Hall Rd
Rural Hall, NC 27045-9552

Mailing address

Provider Enrollment
100 Kimel Forest Drive
Winston Salem, NC 27103-6074
Phone (336) 713-0947

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dkirby199833@direct.novanthealth.org

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
I20161019002403 NC Practitioner - Nurse Practitioner 4789972050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1038 Bethania Rural Hall Rd
Rural Hall, NC 27045-9552
Phone (336) 716-2255

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008774NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Apr 25, 2022 Accepting new patients

Locations

1188 Yadkinville Rd
Mocksville, NC 27028
Phone (336) 716-7435

1038 Bethania Rural Hall Rd
Rural Hall, NC 27045
Phone (336) 716-9270

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

185 Kimel Park Dr
Ste 201
Winston Salem, NC 27103
Phone (336) 760-9411

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: dkirby199833@direct.novanthealth.org
  • Direct secure messaging: dkirby2750660@carolinashealthcaresystem.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1235582297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROVIDER ENROLLMENT",
            "address_2": "100 KIMEL FOREST DRIVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036074",
            "telephone_number": "336-713-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 BETHANIA RURAL HALL RD",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459552",
            "telephone_number": "336-716-9270",
            "fax_number": "336-702-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "DONNA",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008774",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "136755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dkirby199833@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "2337 Winterhaven Ln",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "27103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rural Hall, NC

Sources for this page

Verify at the official NPI Registry.