Individual provider Active NPI

Kerri Anne Hilbourn

  • Massage Therapist
  • Winston Salem, NC
National Provider Identifier
1811869068
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19396 Issued in NC
Practice address
4712 Country Club Rd Ste C
Winston Salem, NC 27104-3749
Phone
(336) 972-3673
NPI assigned
Sep 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 19396 NC Primary

Addresses

Primary practice location

4712 Country Club Rd Ste C
Winston Salem, NC 27104-3749

Mailing address

4712 Country Club Rd Ste C
Winston Salem, NC 27104-3749
Phone (336) 972-3673

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

State licenses

LicenseStateTypeSpecialty
19396NCMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1811869068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 COUNTRY CLUB RD STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043749",
            "telephone_number": "336-972-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 COUNTRY CLUB RD STE C",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043749",
            "telephone_number": "336-972-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILBOURN",
        "first_name": "KERRI",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "19396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.