Terry Kimberg, CRNA

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2019032907 Issued in MD

Practice address

1702 N Ed Carey Dr
Harlingen, TX 78550-8202

Phone

(956) 423-4589

NPI assigned

Sep 20, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

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.

• Harlingen Anesthesia Associates

  • Anesthesiology Physician
  • Harlingen, TX
  • NPI 1114191376
  NPD (past)
• Allied Anesthesia Professionals LLC

  • Specialist
  • Middletown, OH
  • NPI 1902107519

  Multi-Specialty

  NPD (past)
• Beaumont Macomb Township ASC, LLC

  • Certified Registered Nurse Anesthetist
  • Macomb, MI
  • NPI 1184746463

  Multi-Specialty

  NPD (past)
• Beaumont West Bloomfield ASC LLC

  • Certified Registered Nurse Anesthetist
  • W Bloomfield, MI
  • NPI 1275790206

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1221868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1114177656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508202",
            "telephone_number": "956-423-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 N ED CAREY DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508202",
            "telephone_number": "956-423-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERG",
        "first_name": "TERRY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-20",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MD",
            "license": "2019032907",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "07613",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "2019032907",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "2019032907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids DME, Inc.
• Kids Round Up Pediatric Rehab LLC
• Kristin Michelle Kiel, PHD
• Amanda Killeen, DPM
• Lina Kim
• Susan Kimble, MA, OTR
• Jamie Lynn Kirman, OTR
• KND Development 59, LLC
• Priyanka Kondreddy, M.B.B.S
• Hari Kotta

• Psychiatric/Mental Health Nurse Practitioner in Harlingen, TX
• Providers in Harlingen, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.