Individual provider Active NPI

Kimberly Ann Devilbiss, CNS

  • Acute Care Clinical Nurse Specialist
  • Mobile, AL
National Provider Identifier
1083165146
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
1-063802 Issued in AL
Practice address
5955 Airport Blvd
Mobile, AL 36608
Phone
(251) 633-0573
Fax
(251) 633-7367
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 1-063802 AL
Critical Care Medicine Clinical Nurse Specialist 364SC0200X 1-063802 AL
Acute Care Clinical Nurse Specialist 364SA2100X 1-063802 AL Primary

Addresses

Primary practice location

5955 Airport Blvd
Mobile, AL 36608

Mailing address

PO Box 7987
Mobile, AL 36670-0987
Phone (251) 633-7211

Other practice location 1

100 Memorial Hospital Dr Ste 1A
Mobile, AL 36608-1128
Phone (251) 343-6848

Other practice location 2

8725 County Road 64
Daphne, AL 36526-6061
Phone (251) 625-1370

Other practice location 3

2001 Spring Hill Ave
Mobile, AL 36607-3326
Phone (251) 433-3344

Other identifiers 9

IdentifierTypeStateIssuer
512-22437OtherALBCBS OF AL
A05287I901OtherALMEDICARE
512-22438OtherALBCBS OF AL
6121795OtherALAETNA
P02208418OtherALRR MEDICARE
512-22434OtherALBCBS OF AL
512-22435OtherALBCBS OF AL
7002002OtherALUNITED HEALTHCARE
512-22436OtherALBCBS OF AL

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
Certified Nurse Specialist, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-Cardio-Thoracic and Vascular Surgical Associates LLC CurrentSince Sep 1, 2019 Accepting new patients
Pulmonary Associates of Mobile PC Past Accepting new patients
Pulmonary Associates of Mobile PC PastSince Jan 15, 2019 Accepting new patients

Locations

1855 Spring Hill Ave
Mobile, AL 36607
Phone (251) 471-3544

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1083165146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7987",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366700987",
            "telephone_number": "251-633-7211",
            "fax_number": "251-410-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36608",
            "telephone_number": "251-633-0573",
            "fax_number": "251-633-7367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Memorial Hospital Dr Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366081128",
            "country_code": "US",
            "telephone_number": "251-343-6848",
            "fax_number": "251-343-5708",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8725 County Road 64",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365266061",
            "country_code": "US",
            "telephone_number": "251-625-1370",
            "fax_number": "251-625-1380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 Spring Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366073326",
            "country_code": "US",
            "telephone_number": "251-433-3344",
            "fax_number": "251-433-4052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVILBISS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "AL",
            "license": "1-063802",
            "primary": false
        },
        {
            "code": "364SC0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Critical Care Medicine",
            "state": "AL",
            "license": "1-063802",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "AL",
            "license": "1-063802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "512-22437",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "A05287I901",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "512-22438",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6121795",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P02208418",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "512-22434",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "512-22435",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "7002002",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "512-22436",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.