Kimberly D Epperson, FSP

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

7010 S Yale Ave Ste 215
Tulsa, OK 74136-5743

Phone

(918) 236-4165

NPI assigned

Mar 7, 2023

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

Other names 1

• Kimberly Darlene Epperson Professional 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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1134829385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7010 S YALE AVE STE 215",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365743",
            "telephone_number": "918-245-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 S YALE AVE STE 215",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741365743",
            "telephone_number": "918-236-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPPERSON",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "FSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "EPPERSON",
            "middle_name": "DARLENE",
            "credential": "CNA FSP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Epiphany Dermatology of Oklahoma, LLC
• Patti Suzanne Epley, MSW
• Samuel Epp
• Jane Epperley, PHD
• Ronnie Epperly, LPC
• Equity Pharmacy Inc
• Elizabeth Joy Erazo, LMSW
• George Earl Erbacher, DO
• Mary J Erdmann
• Paul Martin Erdmann, MD

• All providers in Tulsa, OK
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.