Kelsy Timas

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

51053404 Issued in NC

Practice address

143 Skateway Dr
Fayetteville, NC 28304-2640

Phone

(910) 864-6257

NPI assigned

Dec 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Guiding Wellness Institute

  • Case Management Agency
  • Fayetteville, NC
  • NPI 1649809666
  NPD Authorized official

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

{
    "created_epoch": "1577059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1275172298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 SKATEWAY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SKATEWAY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283042640",
            "telephone_number": "910-864-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMAS",
        "first_name": "KELSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-23",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NC",
            "license": "51053404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akeemat O Tijani, RPH
• Moyo Bunmi Tillery, PT, DPT, FAAOMPT
• Nancy Rochelle Tillman, LCSWA
• Shawnyetta Danyel Tillman, MSW,LCSW-A
• McKenzie Erin Tilton
• Chauncey Manique Tims
• J. Paige Tinker, PA-C
• Hugo Tinoco, COTAL
• Alexus Tinsley
• Ashlyn Tipton

• Case Manager/Care Coordinator in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.