Karin Kimball, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

11004838 Issued in FL

Practice address

1648 NE 175TH St
North Miami Beach, FL 33162-1443

Phone

(305) 527-1307

NPI assigned

Oct 10, 2019

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: karin.kimball@stjoe.direct.varian.com

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637884800000",
    "number": "1104468230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 NE 175TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621443",
            "telephone_number": "305-527-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 NE 175TH ST",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621443",
            "telephone_number": "305-527-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "KARIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11004838",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95016381",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KGH Therapy
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• Tiffany Anne Kimble, PHYSICIAN ASSISTANT
• Kindness and Care Inc
• Rachel Deborah King, DO
• Sandra M Klein, PSY.D.
• Yocheved S Kleinerman

• Primary Care Nurse Practitioner in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.