Individual provider Active NPI

Vanessa Alexandra Kimm, A.R.N.P

  • Pediatric Nurse Practitioner
  • Iowa City, IA
National Provider Identifier
1013969435
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
C-105998 Issued in IA
Practice address
101 College of Nursing BLDG
Iowa City, IA 52242
Phone
(319) 467-1256
Fax
(319) 384-0080
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X C-105998 IA Primary

Addresses

Primary practice location

101 College of Nursing BLDG
Iowa City, IA 52242

Mailing address

101 College of Nursing BLDG
Iowa City, IA 52242-1117
Phone (319) 467-1256

Other practice location 1

101 College Of Nursing Bldg
Iowa City, IA 52242-1117
Phone (319) 467-1256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-105998IAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: vkimm6707@uihcdirect.org

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1013969435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLLEGE OF NURSING BLDG",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421117",
            "telephone_number": "319-467-1256",
            "fax_number": "319-384-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLLEGE OF NURSING BLDG",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-467-1256",
            "fax_number": "319-384-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 College Of Nursing Bldg",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421117",
            "country_code": "US",
            "telephone_number": "319-467-1256",
            "fax_number": "319-384-0080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMM",
        "first_name": "VANESSA",
        "middle_name": "ALEXANDRA",
        "credential": "A.R.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IA",
            "license": "C-105998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.