Active NPI
Kristina L Kirkeby, LCSWA
- Social Worker
- Raleigh, NC
National Provider Identifier
1982252169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P013537
- Practice address
- 4000 Wake Forest Rd
Raleigh, NC 27609-6879 - Phone
- (919) 865-8710
- NPI assigned
- Aug 30, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | P013537 | NC | Primary |
Addresses
Primary practice location
4000 Wake Forest Rd
Raleigh, NC 27609-6879
Mailing address
4000 Wake Forest Rd
Raleigh, NC 27609-6879
Phone (919) 865-8710
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
| License | State | Type | Specialty |
|---|---|---|---|
| P013537 | NC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1982252169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WAKE FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096879",
"telephone_number": "919-865-8710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 WAKE FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096879",
"telephone_number": "919-865-8710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRKEBY",
"first_name": "KRISTINA",
"middle_name": "L",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NC",
"license": "P013537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.