Active NPI
Nakia Shanae Kinne, BCBA
- Behavior Analyst
- Charlotte, NC
National Provider Identifier
1427547215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 876
- Practice address
- 6135 Park South Dr Ste 510
Charlotte, NC 28210-0100 - Phone
- (561) 302-1081
- NPI assigned
- May 7, 2018
- Last updated
- Nov 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 876 | NC | Primary |
Addresses
Primary practice location
6135 Park South Dr Ste 510
Charlotte, NC 28210-0100
Mailing address
6135 Park South Dr Ste 510
Charlotte, NC 28210-0100
Phone (561) 302-1081
Other names 1
- Nakia Thomas
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 |
|---|---|---|---|
| 876 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Playhaus LLC | Behavior Analyst | Current | Accepting new patients |
Locations
6135 Park South Dr
Ste 510
Charlotte, NC 28210
Phone (704) 749-3116
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732752000000",
"number": "1427547215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 PARK SOUTH DR STE 510",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100100",
"telephone_number": "561-302-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6135 PARK SOUTH DR STE 510",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282100100",
"telephone_number": "561-302-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNE",
"first_name": "NAKIA",
"middle_name": "SHANAE",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2024-11-28",
"certification_date": "2024-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NC",
"license": "876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NAKIA",
"last_name": "THOMAS",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlotte, NC
- Kingsley Road Counseling and Consulting Group, PLLC
- Sarah Apple Kingsley, PT, DPT
- Erin Flinn Kingston, LCWSA
- Kini Corporation (Kini Spa and Hair Replacement Center)
- Brenna Ashford Kinkaid, M.ED., NCC
- Stephanie Ann Kinner, RD
- Ian James Kinney, MD
- Jayme-Jo Kinney
- Martha Page Kinney, MA CCC-SLP
- Sara Regina Kinny, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.