Mary L Kimpson

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4106 Aretha Ave
Detroit, MI 48201-1528

Phone

(313) 759-5521

NPI assigned

Mar 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1154172252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 ARETHA AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011528",
            "telephone_number": "313-759-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 ARETHA AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011528",
            "telephone_number": "313-759-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPSON",
        "first_name": "MARY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Kimbrough
• Tonia Kimbrough, BSW
• Zeyria Dewitt Kimbrough
• Kimmy;S Nest Home Care L.L.C
• Candace Johnson Kimpson, M.D.
• Andrew Daniel Kin, MD
• Mirranda Kinaia
• Jay Kinariwala
• Alexandra Kincaid, CRNA
• Elizabeth Kincaid, BA

• Home Health Aide in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.