Kellianne Dubbin

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P015166 Issued in NC

Practice address

750 W US Highway 64
Murphy, NC 28906-8115

Phone

(828) 837-0071

Fax

(828) 837-5309

NPI assigned

Sep 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1245889989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 MCCLEAN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212347260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W US HIGHWAY 64",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289068115",
            "telephone_number": "828-837-0071",
            "fax_number": "828-837-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBBIN",
        "first_name": "KELLIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "P015166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Dilts, RN
• George Randall Dixson, MD
• Diane Rene Dockery, FNP-C
• Tina Dockery
• Michael Scott Dowling, MD
• Shannon Lee Dyer, CSFA
• Summer Ann Eason, LMT
• Edie Spence, DC, Inc.
• Daniel Michael Eichenbaum, M.D.
• Whitney Marcus Eller, PHARMD

• Professional Counselor in Murphy, NC
• Providers in Murphy, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.