Individual provider Active NPI

Robin Adeire Kimmel, RN

  • Attendant Care Provider
  • Cornelius, OR
National Provider Identifier
1003521071
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Practice address
32196 SW Johnson School Rd
Cornelius, OR 97113-6224
Phone
(503) 706-9555
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Primary

Addresses

Primary practice location

32196 SW Johnson School Rd
Cornelius, OR 97113-6224

Mailing address

32196 SW Johnson School Rd
Cornelius, OR 97113-6224
Phone (503) 706-9555

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rkimm@frontier.com

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
Credentials
Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1003521071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32196 SW JOHNSON SCHOOL RD",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971136224",
            "telephone_number": "503-706-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32196 SW JOHNSON SCHOOL RD",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971136224",
            "telephone_number": "503-706-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "ROBIN",
        "middle_name": "ADEIRE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rkimm@frontier.com",
            "affiliation": "N",
            "address_1": "32196 SW Johnson School Rd",
            "city": "Cornelius",
            "state": "OR",
            "country_code": "US",
            "postal_code": "971136224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cornelius, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.