Organization Active NPI

Moms Are US and Kids 2 PLLC

  • Women's Health Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1053570788
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP30002337 Issued in WA
Legal business name
MOMS ARE US AND KIDS 2 PLLC
Practice address
207 N Dennis St
Kennewick, WA 99336-3129
Phone
(509) 460-4824
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Jean A Kimerling
Title
Operation Manager
Phone
(509) 586-6248

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP30003677 WA
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X AP30002337 WA Primary

Addresses

Primary practice location

207 N Dennis St
Kennewick, WA 99336-3129

Mailing address

PO Box 6762
Kennewick, WA 99336-0640
Phone (509) 586-6248

Other identifiers 2

IdentifierTypeStateIssuer
9635319MedicaidWA
7900970MedicaidWA

Other names 1

  • Wild Rose Clinic Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1053570788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6762",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993360640",
            "telephone_number": "509-586-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N DENNIS ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993363129",
            "telephone_number": "509-460-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMS ARE US AND KIDS 2 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "KIMERLING",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "509-586-6248"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30003677",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30002337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9635319",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7900970",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wild Rose Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.