Individual provider Active NPI

Kimberly M Kuhn, DOM

  • Acupuncturist
  • St Petersburg, FL
National Provider Identifier
1124176300
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP3850 Issued in FL
Practice address
4163 1St Ave S
St Petersburg, FL 33711-1101
Phone
(727) 710-4798
Fax
(831) 621-4820
NPI assigned
Jan 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904004696 VA
Clinical Social Worker 1041C0700X 13138 MD
Clinical Social Worker 1041C0700X 27146 CA
Acupuncturist 171100000X AP3850 FL Primary

Addresses

Primary practice location

4163 1St Ave S
St Petersburg, FL 33711-1101

Mailing address

4163 1St Ave S
St Petersburg, FL 33711-1101
Phone (727) 710-4798

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

State licenses

LicenseStateTypeSpecialty
27146CAMDClinical Social Worker
13138MDMDClinical Social Worker
0904004696VAMDClinical Social Worker
AP3850FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Wellness Center LLC Acupuncturist CurrentSince Jun 15, 2025 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": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1124176300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4163 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111101",
            "telephone_number": "727-710-4798",
            "fax_number": "831-621-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4163 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111101",
            "telephone_number": "727-710-4798",
            "fax_number": "831-621-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHN",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004696",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13138",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "27146",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.