Individual provider Active NPI

Kimberly Brooke Jeanne Nipp, ARNP

  • Family Nurse Practitioner
  • Gulf Breeze, FL
National Provider Identifier
1013638030
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11018670 Issued in FL
Practice address
103 Nightingale LN
Gulf Breeze, FL 32561-4300
Phone
(850) 934-8138
NPI assigned
Sep 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11018670 FL Primary

Addresses

Primary practice location

103 Nightingale LN
Gulf Breeze, FL 32561-4300

Mailing address

103 Nightingale LN
Gulf Breeze, FL 32561-4300
Phone (850) 934-8138

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

LicenseStateTypeSpecialty
11018670FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah D. Viglione M.D., LLC CurrentSince Sep 11, 2022 Accepting new patients

Locations

103 Nightingale Ln
Gulf Breeze, FL 32561
Phone (850) 932-8600

Organizations & group practices 1

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1013638030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614300",
            "telephone_number": "850-934-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 NIGHTINGALE LN",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614300",
            "telephone_number": "850-934-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIPP",
        "first_name": "KIMBERLY",
        "middle_name": "BROOKE JEANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11018670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.