Individual provider Active NPI

Kenya Windley

  • Psychiatry Physician
  • Raleigh, NC
National Provider Identifier
1821483876
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2020-03729 Issued in NC
Practice address
4009 Barrett Dr
Raleigh, NC 27609-6616
Phone
(919) 848-0132
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2020-03729 NC Primary

Addresses

Primary practice location

4009 Barrett Dr
Raleigh, NC 27609-6616

Mailing address

4009 Barrett Dr
Raleigh, NC 27609-6616
Phone (919) 848-0132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104000719 NC Practitioner - Psychiatry 3476963356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Wellness Solutions PLLCGroup PAC ID 8022341494, 143 clinicians

Practice addresses (Care Compare)

2300 Rexwoods Dr
Suite 140
Raleigh, NC 27607-3361
Phone (704) 360-3637

3625 N Elm St
Suite 130
Greensboro, NC 27455-2604
Phone (704) 360-3637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020-03729NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University Current Accepting new patients
East Carolina University Psychiatry CurrentSince May 15, 2024 Accepting new patients
Carter Clinic, P.a. Psychiatry PastSince Mar 4, 2021 Accepting new patients
Carter Clinic, PA Psychiatry Past Accepting new patients

Locations

905 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 744-1406

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.kenyawindley@146232.advancedmd-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1821483876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096616",
            "telephone_number": "919-848-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096616",
            "telephone_number": "919-848-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDLEY",
        "first_name": "KENYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-06",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2020-03729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.