Trina Willette Kirby

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL-034-142 Issued in NC

Practice address

Hines Mental Health Home No. 2
105 Midian Court
Winston-Salem, NC 27105-5966

Phone

(336) 986-2495

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518083500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HINES MENTAL HEALTH HOME NO. 2",
            "address_2": "P.O. BOX 1331",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271021331",
            "telephone_number": "336-986-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HINES MENTAL HEALTH HOME NO. 2",
            "address_2": "105 MIDIAN COURT",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271055966",
            "telephone_number": "336-986-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "TRINA",
        "middle_name": "WILLETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-034-142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven G Kinney, PT, DPT
• Eric Kinzer
• Catherine Kirby-Smith
• Edwena Kirby, LPC
• Roderick Kirby
• Catherine Grainger Kirk, PA-C
• Julienne Kirk, PHARMD
• Eric S Kirkendall, MD
• Haley Rebecca Kirkendall
• Emily Ann Kirker

• Assisted Living Facility (Mental Illness) in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.