Individual provider Active NPI

Kenesheia Wingster, C. TRICHOLOGIST

  • Specialist
  • Savannah, GA
National Provider Identifier
1245936202
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CO091234 Issued in GA
Practice address
5002 Paulsen St
Savannah, GA 31405-4512
Phone
(912) 515-9025
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X CO091234 GA Primary

Addresses

Primary practice location

5002 Paulsen St
Savannah, GA 31405-4512

Mailing address

9980 Pin Point Ave
Savannah, GA 31406-8565
Phone (912) 515-9025

Other practice location 1

9980 Pin Point Ave
Savannah, GA 31406-8565
Phone (912) 515-9025

Other names 1

  • Ms. Kernesheia Wingster Former name

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

State licenses

LicenseStateTypeSpecialty
CO091234GAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1245936202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9980 PIN POINT AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314068565",
            "telephone_number": "912-515-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054512",
            "telephone_number": "912-515-9025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9980 Pin Point Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314068565",
            "country_code": "US",
            "telephone_number": "912-515-9025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGSTER",
        "first_name": "KENESHEIA",
        "name_prefix": "Ms.",
        "credential": "C. TRICHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "CO091234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERNESHEIA",
            "last_name": "WINGSTER",
            "prefix": "MS.",
            "credential": "C. TRICHOLOGIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.