Individual provider Active NPI

Kimberly Eve Fleming, ARNP

  • Acute Care Nurse Practitioner
  • Williamsburg, VA
National Provider Identifier
1073823142
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024177436 Issued in VA
Practice address
120 Kings Way Ste 2200
Williamsburg, VA 23185-2507
Phone
(757) 645-3460
Fax
(757) 345-3481
NPI assigned
Oct 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024177436 VA Primary

Addresses

Primary practice location

120 Kings Way Ste 2200
Williamsburg, VA 23185-2507

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

800 Prudential Dr
Main Building 4th Floor
Jacksonville, FL 32207-8202
Phone (904) 886-9686

Other practice location 2

12200 Warwick Blvd Ste 290
Newport News, VA 23601-2344
Phone (757) 534-5454

Other names 1

  • Kimberly Eve Paik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141215001131 FL Practitioner - Nurse Practitioner 8729220439 Reassigns benefits to 1 organization
I20190812002690 VA Practitioner - Nurse Practitioner 8729220439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

3700 Battery Blvd
Suite 202
Williamsburg, VA 23185-4888
Phone (757) 645-3460

Hospital & facility affiliations

  • Riverside Doctors' Hospital of Williamsburg Hospital, Williamsburg, VA, CCN 490143
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052
  • Riverside Walter Reed Hospital Hospital, Gloucester, VA, CCN 490130
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066

Merit-based Incentive Payment System (MIPS)

Final score
94.91 of 100Reported as apm
Quality
92.86
Promoting interoperability
94.93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024177436VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services, Inc. CurrentSince Aug 12, 2019 Accepting new patients
Riverside Physician Services Inc CurrentSince Aug 12, 2019 Accepting new patients
Respiratory Critical Care and Sleep Medicine Associates,Inc CurrentSince Oct 1, 2014 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Riverside Physician Services Inc Past Accepting new patients

Locations

1325 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 253-6910

800 Prudential Dr
Bldg 4TH
Jacksonville, FL 32207
Phone (904) 886-9686

800 Prudential Dr
Fl 4
Jacksonville, FL 32207
Phone (904) 202-2963

1443 San Marco Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 253-6910

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

12200 Warwick Blvd
Ste 290
Newport News, VA 23601
Phone (757) 534-5454

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

3700 Battery Blvd
Ste 202
Williamsburg, VA 23185
Phone (757) 645-3460

120 Kings Way
Ste 2200
Williamsburg, VA 23185
Phone (757) 259-6500

Interoperability endpoints

  • Direct secure messaging: kfleming124659@direct.rivhs.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1073823142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 KINGS WAY STE 2200",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231852507",
            "telephone_number": "757-645-3460",
            "fax_number": "757-345-3481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Prudential Dr",
            "address_2": "Main Building 4th Floor",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078202",
            "country_code": "US",
            "telephone_number": "904-886-9686",
            "fax_number": "904-886-9770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Warwick Blvd Ste 290",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236012344",
            "country_code": "US",
            "telephone_number": "757-534-5454",
            "fax_number": "757-534-5491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KIMBERLY",
        "middle_name": "EVE",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-07",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024177436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PAIK",
            "middle_name": "EVE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.