NPIMap

Organization Active NPI

KND Development 59 , LLC

  • Hospitalist Physician
  • Greensboro, NC
National Provider Identifier
1619206133
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
KND DEVELOPMENT 59 , LLC
Practice address
2401 Southside Blvd
Greensboro, NC 27406-3311
Phone
(336) 271-2800
Fax
(502) 596-4150
NPI assigned
Dec 11, 2009
Last updated
Aug 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
KINDRED HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Linda L Fisher
Title
DVP Revenue Cycle
Phone
(502) 596-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X Primary

Addresses

Primary practice location

2401 Southside Blvd
Greensboro, NC 27406-3311

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7300

Other practice location 1

5101 Bella Ridge Drive
Raleigh, NC 27615-1890
Phone (502) 596-7358

Other practice location 2

5657 N Church St
Greensboro, NC 27455-8257
Phone (502) 596-7358

Other practice location 3

6810 Creek Wood Drive
Chapel Hill, NC 27514
Phone (502) 596-7358

Other practice location 4

3145 McLaren Ln
Winterville, NC 28590-9895
Phone (502) 596-7358

Other identifiers 2

IdentifierTypeStateIssuer
2347955OtherNCMEDICARE
5922694MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100719000361 NC Part B Supplier - Clinic/Group Practice 3678602802 Receives reassigned benefits from 63 practitioners
Practice locations: Greensboro, NC

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

National Provider Directory

National Provider Directory
Tax ID family
KND Development 5978 organizations share this tax ID, including this one
Part of
Presence Covenant Medical Center

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1619206133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7300",
            "fax_number": "833-501-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 SOUTHSIDE BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274063311",
            "telephone_number": "336-271-2800",
            "fax_number": "502-596-4150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5101 Bella Ridge Drive",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276151890",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5657 N Church St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274558257",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6810 Creek Wood Drive",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "27514",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3145 McLaren Ln",
            "address_purpose": "LOCATION",
            "city": "Winterville",
            "state": "NC",
            "postal_code": "285909895",
            "country_code": "US",
            "telephone_number": "502-596-7358",
            "fax_number": "502-596-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KND DEVELOPMENT 59 , LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED HEALTHCARE, LLC",
        "enumeration_date": "2009-12-11",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DVP REVENUE CYCLE",
        "authorized_official_telephone_number": "502-596-7358"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2347955",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922694",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.