Active NPI
Kimberly P Hood, M.D
- Obstetrics & Gynecology Physician
- Crestview, FL
National Provider Identifier
1073548863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME87709
- Practice address
- 550 Redstone Ave W
Suite 470
Crestview, FL 32536-6428 - Phone
- (850) 689-2223
- Fax
- (850) 689-2204
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME87709 | FL | Primary |
Addresses
Primary practice location
550 Redstone Ave W
Suite 470
Crestview, FL 32536-6428
Mailing address
550 Redstone Ave W
Suite 470
Crestview, FL 32536-6428
Phone (850) 689-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 267100000 | Medicaid | FL | |
| 450517213 | Other | FL | FED TAX IDENTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 25, 2019 through Nov 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073548863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 REDSTONE AVE W",
"address_2": "SUITE 470",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325366428",
"telephone_number": "850-689-2223",
"fax_number": "850-689-2204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 REDSTONE AVE W",
"address_2": "SUITE 470",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325366428",
"telephone_number": "850-689-2223",
"fax_number": "850-689-2204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOD",
"first_name": "KIMBERLY",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME87709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "267100000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED TAX IDENTIFICATION",
"identifier": "450517213",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Crestview, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.