Jane Paranae Kilolong

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

243354 Issued in NC

Practice address

3637 Old Vineyard Rd
Winston Salem, NC 27104-4842

Phone

(336) 794-3550

NPI assigned

Feb 11, 2022

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Family Behavioral Health, PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1659591162
  NPD

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1306590948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 HAVENBROOK CT",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129677",
            "telephone_number": "704-640-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 OLD VINEYARD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271044842",
            "telephone_number": "336-794-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILOLONG",
        "first_name": "JANE",
        "middle_name": "PARANAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NC",
            "license": "243354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kiger, ST
• Brennyn Kiker
• Angelce Dimitrija Kikerkov, MD
• Larry Shelton Kilby, M.D.
• Emily Mikeal Kile, LPT, LAT, ATC
• Scott Ethan Kilpatrick, MD
• Kim Wilson, MSW, LCSW, PLLC
• Angela Kim
• Eunkuk Kim, M.D.
• Ickhee Kim, MD

• Psychiatric/Mental Health Registered Nurse in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychiatric/Mental Health Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.