Active NPI
Rachel Lynn Kininger, PHD
- Psychologist
- Goldsboro, NC
National Provider Identifier
1689163453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5753
- Practice address
- 2307 Norwood Ave Ste a
Goldsboro, NC 27534-1601 - Phone
- (919) 734-8803
- NPI assigned
- May 7, 2018
- Last updated
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5753 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2307 Norwood Ave Ste a
Goldsboro, NC 27534-1601
Mailing address
2307 Norwood Ave Ste a
Goldsboro, NC 27534-1601
Phone (252) 493-6525
Other practice location 1
100 N Academy Ave
Danville, PA 17822-0001
Phone (800) 275-6401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5753 | NC | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidal Integrated Health, Inc | Psychologist | Past | Accepting new patients |
| Nova Ic, Inc. | Psychologist | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1689163453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 NORWOOD AVE STE A",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341601",
"telephone_number": "252-493-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 NORWOOD AVE STE A",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341601",
"telephone_number": "919-734-8803"
}
],
"practiceLocations": [
{
"address_1": "100 N Academy Ave",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "PA",
"postal_code": "178220001",
"country_code": "US",
"telephone_number": "800-275-6401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KININGER",
"first_name": "RACHEL",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-07",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "5753",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.