Organization Active NPI

Kim Hollingsworth, Aprn, PLLC

  • Nurse Practitioner
  • Oakland Park, FL
National Provider Identifier
1013649821
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KIM HOLLINGSWORTH, APRN, PLLC
Practice address
4805 N Dixie Hwy Ste B
Oakland Park, FL 33334-3928
Phone
(786) 877-4922
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Authorized official

Name
Kimberly Hollingsworth, APRN
Title
Sole Proprietor
Phone
(786) 877-4922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

4805 N Dixie Hwy Ste B
Oakland Park, FL 33334-3928

Mailing address

3801 N University Dr Ste 501
Sunrise, FL 33351-6320
Phone (786) 877-4922

National Provider Directory

National Provider Directory

Locations

4805 N Dixie Hwy
Ste B
Oakland Park, FL 33334
Phone (786) 877-4922

3801 N University Dr
Ste 501
Sunrise, FL 33351
Phone (786) 399-5287

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1013649821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N UNIVERSITY DR STE 501",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333516320",
            "telephone_number": "786-877-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 N DIXIE HWY STE B",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333343928",
            "telephone_number": "786-877-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM HOLLINGSWORTH, APRN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "786-877-4922",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.