Individual provider Active NPI

Jessica Naki Kisseih

  • Prosthetist
  • Lumberton, NC
National Provider Identifier
1346116068
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
4017 Issued in NC
Practice address
2581 Popes Crossing Rd
Lumberton, NC 28358-6400
Phone
(910) 774-2199
NPI assigned
Oct 13, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X 4017 NC Primary

Addresses

Primary practice location

2581 Popes Crossing Rd
Lumberton, NC 28358-6400

Mailing address

2581 Popes Crossing Rd
Lumberton, NC 28358-6400
Phone (910) 774-2199

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
4017NCMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1346116068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 POPES CROSSING RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283586400",
            "telephone_number": "910-774-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 POPES CROSSING RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283586400",
            "telephone_number": "910-774-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEIH",
        "first_name": "JESSICA",
        "middle_name": "NAKI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NC",
            "license": "4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.