Elizabeth Ashley Kincaid

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

P21975 Issued in NC

Practice address

922 Broad St Ste D
Durham, NC 27705-4147

Phone

(757) 969-2566

NPI assigned

Sep 5, 2023

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1326824459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MARIETTA WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036773",
            "telephone_number": "757-969-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 BROAD ST STE D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054147",
            "telephone_number": "757-969-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "ELIZABETH",
        "middle_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "P21975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuval Zev Kimbell, PA-C
• Caroline Mazyck Kimber, PT
• Amanda Kimberg
• Gretchen Kimmick, MD
• Brian Richard Kincaid, M.D.
• Lindsey Mikel Kinch, FNP-BC
• Claire Louise Kinchen, DPT
• Kinder Love Home
• Kinder Love Home LLC
• Kinder Love Home, Inc

• Physical Medicine & Rehabilitation Physician in Durham, NC
• Providers in Durham, NC by specialty
• Physical Medicine & Rehabilitation Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.