Roxann Deborah Kinlock, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011805 Issued in NY

Practice address

805 S Governors Ave
Dover, DE 19904-4158

Phone

(302) 678-5200

NPI assigned

Sep 3, 2008

Last updated

Apr 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Medexpress, Inc - Delaware

  dba MedExpress - Wilmington Concord Pike

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1255692182
  Medicare reassignment NPD (past)
• Choice Pain & Rehabilitation Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Lanham, MD
  • NPI 1568809598

  DE

  Medicare reassignment
• Choice Pain & Rehabilitation Center

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newark, DE
  • NPI 1053007898
  NPD
• Medexpress, Inc - Delaware

  dba MedExpress - Dover

  • Family Medicine Physician
  • Dover, DE
  • NPI 1265770135
  NPD
• Planned Parenthood of Delaware, Inc.

  • Obstetrics & Gynecology Physician
  • Wilmington, DE
  • NPI 1124033865
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365379200000",
    "number": "1508014598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 COLDWATER DR",
            "city": "CLAYTON",
            "state": "DE",
            "postal_code": "199383903",
            "telephone_number": "302-222-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S GOVERNORS AVE",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-678-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINLOCK",
        "first_name": "ROXANN",
        "middle_name": "DEBORAH",
        "name_prefix": "Miss",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2013-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Jo King, LCSW, CADC
• Melinda Kay King, LPCMH
• Renee King, CRNA
• Sarafina Kristen King
• Zondea King
• Sara-Ashley Kinney, MOT OTR/L
• Richard Wayne Kinzle
• Larence Kirby, LPCMH
• Marketta Kirby
• Emily Kleimo, M.A., CCC-SLP

• Physician Assistant in Dover, DE
• Providers in Dover, DE by specialty
• Physician Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.

Verify at the official NPI Registry.