Active NPI
Kimberly Beddow
- Nurse Practitioner
- Lewes, DE
National Provider Identifier
1063050912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LP-0000336
- Practice address
- 424 Savannah Rd
Lewes, DE 19958-1462 - Phone
- (302) 645-3300
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LP-0000336 | DE | Primary |
Addresses
Primary practice location
424 Savannah Rd
Lewes, DE 19958-1462
Mailing address
31524 Gooseberry Way
Lewes, DE 19958-5828
Phone (540) 664-7813
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NPIResistry | Health Information Exchange (HIE) |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1063050912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31524 GOOSEBERRY WAY",
"city": "LEWES",
"state": "DE",
"postal_code": "199585828",
"telephone_number": "540-664-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 SAVANNAH RD",
"city": "LEWES",
"state": "DE",
"postal_code": "199581462",
"telephone_number": "302-645-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDDOW",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-11",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LP-0000336",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NPIResistry",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NPIRegistry",
"address_1": "424 Savannah Rd",
"city": "Lewes",
"state": "DE",
"country_code": "US",
"postal_code": "199581462",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.