Active NPI
Kasey Michelle Sessoms, BK SPECIALIST
- Rehabilitation Practitioner
- Greensboro, NC
National Provider Identifier
1992965727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 3511 W Market St # B
Greensboro, NC 27403-4443 - Phone
- (336) 294-3338
- Fax
- (336) 294-6696
- NPI assigned
- Jun 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
3511 W Market St # B
Greensboro, NC 27403-4443
Mailing address
6704 Fegan Rd
Summerfield, NC 27358-9788
Phone (336) 312-8557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8200082K | Medicaid | NC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213574400000",
"number": "1992965727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6704 FEGAN RD",
"city": "SUMMERFIELD",
"state": "NC",
"postal_code": "273589788",
"telephone_number": "336-312-8557",
"fax_number": "336-294-6696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3511 W MARKET ST # B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274034443",
"telephone_number": "336-294-3338",
"fax_number": "336-294-6696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SESSOMS",
"first_name": "KASEY",
"middle_name": "MICHELLE",
"credential": "BK SPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2008-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8200082K",
"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 Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.