Kimberly Hommes, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

158479 Issued in OH

Practice address

4903 Dunsmore Ave
Ashtabula, OH 44004-6542

Phone

(440) 812-8689

NPI assigned

Apr 18, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618704000000",
    "number": "1003497389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 DUNSMORE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046542",
            "telephone_number": "440-812-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4903 DUNSMORE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046542",
            "telephone_number": "440-812-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMMES",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-18",
        "last_updated": "2021-04-18",
        "certification_date": "2021-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "158479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "440-812-8689",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "440-812-8689",
            "address_1": "4903 Dunsmore Ave",
            "city": "Ashtabula",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440046542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chad Ervin Holden
• Brianna Nicole Holland
• Melissa Marie Holland, LPN
• Courtney Holmgren, OTR/L
• Christine Lynnette Holton, LPN
• Kasey Lynn Hoopes, PT
• Debra M Hoplight, FNP
• Diana Hoplight
• Diane Ruth Hopp, RD, LD
• Hornbeck Associates, LTD.

• Licensed Practical Nurse in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Licensed Practical Nurse in Ohio

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

Verify at the official NPI Registry.