Kimberly R Egan

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

12181 Fgcu Lake Pkwy E
Fort Myers, FL 33965-6500

Phone

(732) 948-2009

NPI assigned

Apr 24, 2022

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1083358279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 EVERBLADES PKWY APT 203",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289545",
            "telephone_number": "732-948-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12181 FGCU LAKE PKWY E",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339656500",
            "telephone_number": "732-948-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-24",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Nicole Edwards
• Lindsay Edwards, APRN
• Lorine Sandra Edwards, BA
• Effectual Behavioral Solutions
• Elizabeth M Efthimiou, MD
• Lucas Egan
• Brian Patrick Eger
• Eh Health Home Health of Florida, LLC (Enhabit Home Health)
• Terri S Ehmann
• Jessica Ehrke

• Athletic Trainer in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.