Kimberly C Church

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

00671 Issued in NC

Practice address

3917 Burlington Rd
Greensboro, NC 27405-8652

Phone

(336) 621-1163

Fax

(336) 621-1163

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1124107347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 MANESS RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274058635",
            "telephone_number": "336-621-1163",
            "fax_number": "336-621-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 BURLINGTON RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274058652",
            "telephone_number": "336-621-1163",
            "fax_number": "336-621-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "00671",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NC",
            "license": "00671",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Anne Chun, M.A., M.S.
• Phoebe Um Chun, MD
• Rebecca Wing CHI Chung, OD
• Cody Lee Church, LAT, ATC
• Jeanie Spence Church, RN
• Lani Raine Church, RN
• Shimica Church, RN
• Olivia Cil
• Cinnamon Ridge
• Cinnamon Ridge Family Care Home

• Durable Medical Equipment & Medical Supplies in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.