Barbra Kill

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

420 20TH St SW
Jamestown, ND 58401-6227

Phone

(701) 223-2417

NPI assigned

Feb 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Barbra Odum Former name

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": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1124772207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 SHELBURNE ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035605",
            "telephone_number": "701-223-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 20TH ST SW",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016227",
            "telephone_number": "701-223-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILL",
        "first_name": "BARBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBRA",
            "last_name": "ODUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Janelle Lacey Kertzman, FNP-C
• Ian Keyes
• Nyamah Keymah II, CNA
• Holly Kiehl, MS RD, LRD
• Brittany Kilgore, PT, DPT
• Lindsay King, RN, CDCES
• Teage R Kinzell
• Dorothea Kinzler, LCSW
• Janet Kinzler, HADISP
• Sheila Kinzler, APRN,CNP

• All providers in Jamestown, ND
• Case Manager/Care Coordinator in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.