Active NPI
Lourine Kissi
- Family Nurse Practitioner
- Concord, NC
National Provider Identifier
1437995834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2023192905
- Practice address
- 9860 Darby Creek Ave NW
Concord, NC 28027-8212 - Phone
- (718) 570-2601
- NPI assigned
- Jul 4, 2024
- Last updated
- Jul 4, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2023192905 | NC | Primary |
Addresses
Primary practice location
9860 Darby Creek Ave NW
Concord, NC 28027-8212
Mailing address
9860 Darby Creek Ave NW
Concord, NC 28027-8212
Phone (718) 570-2601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023192905 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 600
Dallas, TX 75244
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": "1720051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720051200000",
"number": "1437995834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9860 DARBY CREEK AVE NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280278212",
"telephone_number": "718-570-2601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9860 DARBY CREEK AVE NW",
"city": "CONCORD",
"state": "NC",
"postal_code": "280278212",
"telephone_number": "718-570-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISSI",
"first_name": "LOURINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-04",
"last_updated": "2024-07-04",
"certification_date": "2024-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "2023192905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.