Afi Nono Kpakossou

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

KPAK-UKTGS Issued in NC

Practice address

6570 Unity St
Thomasville, NC 27360-4968

Phone

(336) 965-0388

NPI assigned

Nov 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23505/brand/1/csg/1/fhir/r4

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.

• Pinnacle Behavioral Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Thomasville, NC
  • NPI 1023600491

  Single Specialty

  Medicare reassignment NPD Authorized official
• Vitae Health Medical North Carolina, PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1265064414

  Single Specialty

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NC, Single Specialty

  Medicare reassignment NPD
• Lifesource of North Carolina

  • Internal Medicine Physician
  • Wilmington, NC
  • NPI 1811286156

  Single Specialty

  NPD
• Lifesource of North Carolina

  • Psychologist
  • Milton, FL
  • NPI 1730648288

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1497463137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6570 UNITY ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604968",
            "telephone_number": "336-965-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 UNITY ST",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273604968",
            "telephone_number": "336-965-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KPAKOSSOU",
        "first_name": "AFI",
        "middle_name": "NONO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "KPAK-UKTGS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@pinnaclebhw.com",
            "affiliation": "N",
            "address_1": "6570 Unity St",
            "city": "Thomasville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273604968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beverly Lynn King
• Carl R Kirsch, M.D.
• Vanessa Catherina Knox, DMD
• Laura A Kobos-Moseley, MS, LPC, CRC
• Michael William Koch, PHARMD
• Karolyn S Kruger, MD
• Mya Lamberth, OTR/L
• Eric D Lance, M.D.
• Darian Maurice Laneave, M.D.
• Devin Lanier

• Psychiatric/Mental Health Nurse Practitioner in Thomasville, NC
• Providers in Thomasville, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.