Individual provider Active NPI

Kimberly Parsons, CRNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Lansdale, PA
National Provider Identifier
1033225776
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
SP003190 Issued in PA
Practice address
419 S Broad St Unit 4
Lansdale, PA 19446-3703
Phone
(215) 536-3200
Fax
(215) 536-3259
NPI assigned
Aug 23, 2006
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP003190 PA Primary

Addresses

Primary practice location

419 S Broad St Unit 4
Lansdale, PA 19446-3703

Mailing address

419 S Broad St Ste 4
Lansdale, PA 19446-3703
Phone (267) 429-2553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111004029 PA Practitioner - Nurse Practitioner 4486005642 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP003190PAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grand View Hospital Current Accepting new patients
Grand View Hospital CurrentSince Jan 1, 2024 Accepting new patients

Locations

419 S Broad St
Unit 4
Lansdale, PA 19446
Phone (267) 429-2561

99 N West End Blvd
Ste 104
Quakertown, PA 18951
Phone (215) 453-4908

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1033225776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S BROAD ST STE 4",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463703",
            "telephone_number": "267-429-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S BROAD ST UNIT 4",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463703",
            "telephone_number": "215-536-3200",
            "fax_number": "215-536-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "KIMBERLY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP003190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.