Individual provider Active NPI

Kiara Winsor, FNP-BC

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1316474158
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704303022 Issued in MI
Practice address
2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone
(336) 716-9150
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704303022 MI Primary

Addresses

Primary practice location

2005 Pisgah Church Rd
Greensboro, NC 27455-3309

Mailing address

2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone (336) 716-9150

Other practice location 1

1750 E Bellows St Ste G
MT Pleasant, MI 48858-3872
Phone (989) 773-9669

Other practice location 2

4950 E Blue Grass Rd
MT Pleasant, MI 48858-6020
Phone (989) 317-0565

Other identifiers 1

IdentifierTypeStateIssuer
4704303022OtherMISTATE PROFESSIONAL LICENSE

Other names 1

  • Kiara Thornton Former name

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
I20200618000019 NC Practitioner - Nurse Practitioner 2264709906 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone (336) 701-2662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mediq Urgent Care PC CurrentSince Jun 1, 2020 Accepting new patients
Mediq Urgent Care PC CurrentSince Jun 1, 2020 Accepting new patients
Wake Forest University Health Sciences CurrentSince Jun 22, 2020 Accepting new patients

Locations

2005 Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 701-2662

5718 W Gate City Blvd
Greensboro, NC 27407
Phone (336) 738-1691

1912 Eastchester Dr
Ste 302
High Point, NC 27265
Phone (336) 438-2260

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

12201 N NC Highway 150
Ste 11
Winston Salem, NC 27127
Phone (336) 738-1691

Interoperability endpoints

  • Direct secure messaging: kwinsor2753451@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1316474158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PISGAH CHURCH RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553309",
            "telephone_number": "336-716-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PISGAH CHURCH RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553309",
            "telephone_number": "336-716-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 E Bellows St Ste G",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488583872",
            "country_code": "US",
            "telephone_number": "989-773-9669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4950 E Blue Grass Rd",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "MI",
            "postal_code": "488586020",
            "country_code": "US",
            "telephone_number": "989-317-0565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINSOR",
        "first_name": "KIARA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PROFESSIONAL LICENSE",
            "identifier": "4704303022",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIARA",
            "last_name": "THORNTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.