Active NPI
Donna Kimrey, FNP-C
- Family Nurse Practitioner
- Rural Hall, NC
National Provider Identifier
1124662846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5012508
- Practice address
- 531 Northridge Park Dr
Rural Hall, NC 27045-9575 - Phone
- (336) 519-6445
- Fax
- (336) 519-0660
- NPI assigned
- Nov 6, 2019
- Last updated
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5012508 | NC | Primary |
| Family Nurse Practitioner | 363LF0000X | F09191237 | NC |
Addresses
Primary practice location
531 Northridge Park Dr
Rural Hall, NC 27045-9575
Mailing address
531 Northridge Park Dr
Rural Hall, NC 27045-9575
Phone (336) 519-6445
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F09191237 | NC | MD | Family Nurse Practitioner |
Interoperability endpoints
- dkimrey2753627@carolinashealthcaresystem.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1124662846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 NORTHRIDGE PARK DR",
"city": "RURAL HALL",
"state": "NC",
"postal_code": "270459575",
"telephone_number": "336-519-6445",
"fax_number": "336-519-0660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 NORTHRIDGE PARK DR",
"city": "RURAL HALL",
"state": "NC",
"postal_code": "270459575",
"telephone_number": "336-519-6445",
"fax_number": "336-519-0660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMREY",
"first_name": "DONNA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-06",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5012508",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "F09191237",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rural Hall, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.