Kimberly Ebel, RN, PCD(DONA)

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

26NR16771200 Issued in NJ

Practice address

43 Woodside Ter
West Orange, NJ 07052-5024

Phone

(201) 956-0704

NPI assigned

Sep 23, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1023835865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WOODSIDE TER",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525024",
            "telephone_number": "201-956-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WOODSIDE TER",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525024",
            "telephone_number": "201-956-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBEL",
        "first_name": "KIMBERLY",
        "credential": "RN, PCD(DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NJ",
            "license": "26NR16771200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Catalina Echeverry Taborda, MSN
• Daniel Marc Edelman, PSYD
• Arline Edmond, M.D.

• All providers in West Orange, NJ
• Lactation Consultant (Registered Nurse) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.