Individual provider Active NPI

Bambi Lynn Kimmes, RN, BSN

  • Home Health Registered Nurse
  • Cumming, GA
National Provider Identifier
1083932875
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN134143 Issued in GA
Practice address
3635 Cedar Springs CT
Cumming, GA 30040-9692
Phone
(678) 933-4904
Fax
(678) 513-2430
NPI assigned
May 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN134143 GA Primary

Addresses

Primary practice location

3635 Cedar Springs CT
Cumming, GA 30040-9692

Mailing address

3635 Cedar Springs CT
Cumming, GA 30040-9692
Phone (678) 933-4904

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN134143GAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Angels All Around Home Care Service Inc. Past Accepting new patients

Organizations & group practices 1

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1083932875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 CEDAR SPRINGS CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409692",
            "telephone_number": "678-933-4904",
            "fax_number": "678-513-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 CEDAR SPRINGS CT",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409692",
            "telephone_number": "678-933-4904",
            "fax_number": "678-513-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMES",
        "first_name": "BAMBI",
        "middle_name": "LYNN",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "RN134143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.