Active NPI
Risa Kimbrough
- Doula
- Pine Hill, NJ
National Provider Identifier
1063955656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 350 Blackwood Clementon Rd
Apt 702
Pine Hill, NJ 08021-5243 - Phone
- (609) 442-9755
- NPI assigned
- Nov 30, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
350 Blackwood Clementon Rd
Apt 702
Pine Hill, NJ 08021-5243
Mailing address
PO Box 2276
Laurel Springs, NJ 08021-9376
Phone (609) 442-9755
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | risathedoula@gamil.com | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1063955656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2276",
"city": "LAUREL SPRINGS",
"state": "NJ",
"postal_code": "080219376",
"telephone_number": "609-442-9755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 BLACKWOOD CLEMENTON RD",
"address_2": "APT 702",
"city": "PINE HILL",
"state": "NJ",
"postal_code": "080215243",
"telephone_number": "609-442-9755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBROUGH",
"first_name": "RISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-30",
"last_updated": "2022-04-14",
"certification_date": "2022-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "risathedoula@gamil.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "business email",
"address_1": "252 Millbridge Rd",
"city": "Clementon",
"state": "NJ",
"country_code": "US",
"postal_code": "080215531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pine Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.