Kerry Shawn Redmond, LCAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1170 Issued in NC

Practice address

271A Callahan Koon Rd
Spindale, NC 28160-2207

Phone

(828) 287-6110

Fax

(828) 287-6092

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1578682837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S FRENCH BROAD AVE FL 3",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013272",
            "telephone_number": "828-225-3100",
            "fax_number": "828-225-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271A CALLAHAN KOON RD",
            "city": "SPINDALE",
            "state": "NC",
            "postal_code": "281602207",
            "telephone_number": "828-287-6110",
            "fax_number": "828-287-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "KERRY",
        "middle_name": "SHAWN",
        "credential": "LCAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ENHANCED MEDICAID",
            "identifier": "8301118Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6111944",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan Pope, PHARM D
• Raleigh Durham Medical Group PA
• Christal Ransome
• Robert Scott Rash, PMHNP-BC, DC
• RDMG Associates, PA
• Erin Rhyne, LCSWA
• Anne E Roberts, PT
• Rutherford County
• Rutherford County DSS
• Rutherford Hospital, Inc.

• Addiction (Substance Use Disorder) Counselor in Spindale, NC
• Providers in Spindale, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.