Kimberly Samborn-Juroviesky, ARNP-CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

ARNP 9180037 Issued in FL

Practice address

C/O Charles a Perkins Jr, Medical Credentials Asst.
375MDG/SGHQ
Scott Afb, IL 62225-5252

Phone

(618) 256-7600

NPI assigned

Jul 18, 2006

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

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1043238686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O CHARLES A PERKINS JR, MEDICAL CREDENTIALS ASST.",
            "address_2": "375MDG/SGHQ",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255252",
            "telephone_number": "618-256-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C/O CHARLES A PERKINS JR, MEDICAL CREDENTIALS ASST.",
            "address_2": "375MDG/SGHQ",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622255252",
            "telephone_number": "618-256-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMBORN-JUROVIESKY",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "ARNP-CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP 9180037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• D'Mario Revere, IDMT
• Zachary B Reynolds
• Lawrence Marshall Riddles, MD
• Zachary Aaron Ross, DO
• Kenneth Royal Russell Jr., DPH
• Christopher Schmidt, D.D.S.
• David B Schramm, IDMT
• Collin Schroeder, IDMT
• Todd Alan Schultz, D.M.D.
• Christal Ann Scott, PA-C

• Advanced Practice Midwife in Scott Afb, IL
• Providers in Scott Afb, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; 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.