Active NPI
Deborah June Kennerson-Webb
- Cognitive & Behavioral Psychologist
- Burlington, NC
National Provider Identifier
1407927072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 1631
- Practice address
- 1214 Vaughn Rd
Burlington, NC 27217-2863 - Phone
- (336) 227-5050
- Fax
- (336) 227-5060
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 1631 | NC | Primary |
Addresses
Primary practice location
1214 Vaughn Rd
Burlington, NC 27217-2863
Mailing address
6015 Fayetteville Rd
Suite 211
Durham, NC 27713-6254
Phone (919) 572-0001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1631 | NC | MD | General Care Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407927072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 FAYETTEVILLE RD",
"address_2": "SUITE 211",
"city": "DURHAM",
"state": "NC",
"postal_code": "277136254",
"telephone_number": "919-572-0001",
"fax_number": "919-572-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 VAUGHN RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272172863",
"telephone_number": "336-227-5050",
"fax_number": "336-227-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNERSON-WEBB",
"first_name": "DEBORAH",
"middle_name": "JUNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "1631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.