Johnmichael Tumbo Kimani

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

086555-23 Issued in NH

Practice address

230 Amherst St
Nashua, NH 03063-1702

Phone

(508) 484-3034

NPI assigned

Feb 2, 2021

Sex

Male

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

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Absolute Psych Care PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashua, NH
  • NPI 1245941384
  Medicare reassignment NPD Authorized official
• Lamprey Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Newmarket, NH
  • NPI 1568412237

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Lamprey Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Raymond, NH
  • NPI 1134702954
  NPD
• Confidant Providers LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reston, VA
  • NPI 1336761691
  NPD (past)

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1134710015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 W BROADWAY STE 200",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382323",
            "telephone_number": "508-484-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 AMHERST ST",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030631702",
            "telephone_number": "508-484-3034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Prospect St",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "030603924",
            "country_code": "US",
            "telephone_number": "603-883-1626",
            "fax_number": "603-816-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMANI",
        "first_name": "JOHNMICHAEL",
        "middle_name": "TUMBO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-02",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2309715",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "086555-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Kilgour, PHD
• Heather C Killie, MD
• Kiltaya Natural Medicine, Inc.
• Kim Burkland-Ward, Licsw, P.L.L.C
• Daria Kim
• Melvin Joel Kimmel, PH.D.
• Kind Care Dental
• Kind Care Dentistry
• Kindred Nursing Centers West, LLC
• King Healthcare Group LLC

• Psychiatric/Mental Health Nurse Practitioner in Nashua, NH
• Providers in Nashua, NH by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.