Selena Kimble

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

5934 Jaycox Rd
North Ridgeville, OH 44039-1443

Phone

(440) 823-3540

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1104600352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5934 JAYCOX RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391443",
            "telephone_number": "440-823-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5934 JAYCOX RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440391443",
            "telephone_number": "440-823-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "SELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Donald Kantor III, DDS
• Courtney Meredith Keaton, RN
• Kenneth a. de Luca,PH.D. & Associates, Inc.
• Catherine Kiewel, NCSP
• Kimberly Clipper Counseling and Therapy Services, LLC
• Duyen My Mai Kirkpatrick, DO
• Linda Marie Kirschler, OTR
• Rochelle Catherine Klemens
• Kimberly Knable
• Victoria Knotts, PA-C

• Homemaker in North Ridgeville, OH
• Providers in North Ridgeville, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.