Active NPI
Barbara Kaynan, MA, RDT
- Drama Therapist
- Raleigh, NC
National Provider Identifier
1427624394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- License
- 655
- Practice address
- 8400 Flat Keystone Dr
Raleigh, NC 27613-7398 - Phone
- (201) 264-9768
- NPI assigned
- Jun 1, 2021
- 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 |
|---|---|---|---|---|
| Drama Therapist | 101200000X | 655 | NC | Primary |
Addresses
Primary practice location
8400 Flat Keystone Dr
Raleigh, NC 27613-7398
Mailing address
8400 Flat Keystone Dr
Raleigh, NC 27613-7398
Phone (201) 264-9768
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | simplepractice.com |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 655 | NC | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1427624394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 FLAT KEYSTONE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276137398",
"telephone_number": "201-264-9768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8400 FLAT KEYSTONE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276137398",
"telephone_number": "201-264-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAYNAN",
"first_name": "BARBARA",
"name_prefix": "Mrs.",
"credential": "MA, RDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "NC",
"license": "655",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "simplepractice.com",
"affiliation": "N",
"address_1": "8400 Flat Keystone Dr",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276137398",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.