Gregory Kilpatrick II

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

485921 Issued in NC

Practice address

910 Hope Mills Rd
Fayetteville, NC 28304-4243

Phone

(910) 600-8209

NPI assigned

Apr 17, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Bridge to Care Home Care LLC

  • Home Health Agency
  • Fayetteville, NC
  • NPI 1104435635
  NPD Authorized official

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1356961544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25022",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145000",
            "telephone_number": "910-600-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044243",
            "telephone_number": "910-600-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILPATRICK",
        "first_name": "GREGORY",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NC",
            "license": "218721",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "485921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidzcare Pediatrics, PC
• Kidzcare Pediatrics, PC
• Kidzplex Fitness
• Stephanie Kiesser, LPN
• Jamie Michele Kilburn, PHARMD
• Kim Pryzgoda DDS PA
• Edward Kim, MD
• Jody Sook Kim, L.AC.,OMD
• Joonsung Kim
• Michael S. Kim, OTR/L

• Home Health Aide in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.