Individual provider Active NPI

Kimberley Homer

  • Midwife
  • Tallahassee, FL
National Provider Identifier
1023494101
Registry record updated Sep 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
MW383 Issued in FL
Practice address
275 John Knox Rd Apt M102
Tallahassee, FL 32303-6612
Phone
(305) 510-9654
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X MW383 FL Primary
Doula 374J00000X

Addresses

Primary practice location

275 John Knox Rd Apt M102
Tallahassee, FL 32303-6612

Mailing address

275 John Knox Rd Apt M102
Tallahassee, FL 32303-6612

Other practice location 1

3185 Hibiscus St
Miami, FL 33133-4323
Phone (305) 510-9654

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
MW383FLMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Crowning Midwifery, Birth Services, and Beyond PLLC Midwife Current Accepting new patients

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": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568332800000",
    "number": "1023494101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 JOHN KNOX RD APT M102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 JOHN KNOX RD APT M102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036612",
            "telephone_number": "305-510-9654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3185 Hibiscus St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331334323",
            "country_code": "US",
            "telephone_number": "305-510-9654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMER",
        "first_name": "KIMBERLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2019-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW383",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; 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.