Individual provider Active NPI

Rebecca Ashley Kalinoski, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Thomasville, NC
National Provider Identifier
1386166684
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5009569 Issued in NC
Practice address
100 Hedrick Dr
Thomasville, NC 27360-6009
Phone
(336) 472-2017
NPI assigned
Jul 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5009569 NC Primary

Addresses

Primary practice location

100 Hedrick Dr
Thomasville, NC 27360-6009

Mailing address

265 Brookview Centre Way Ste 400
Knoxville, TN 37919-4052

Other practice location 1

3205 Randall Pkwy Ste 105
Wilmington, NC 28403
Phone (910) 742-9243

Other names 1

  • Rebecca Ashley Kabatchnick Former name

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

707 N Elm St
High Point, NC 27262
Phone (336) 885-0141

204 E Old Highway 74
Monroe, NC 28112
Phone (704) 283-3066

515 Barbour Rd
Smithfield, NC 27577
Phone (919) 227-6261

100 Hedrick Dr
Thomasville, NC 27360
Phone (336) 472-2017

Organizations & group practices 1

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386166684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY STE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEDRICK DR",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606009",
            "telephone_number": "336-472-2017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3205 Randall Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "28403",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALINOSKI",
        "first_name": "REBECCA",
        "middle_name": "ASHLEY",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5009569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KABATCHNICK",
            "middle_name": "ASHLEY",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.