Individual provider Active NPI

Kimberly Eileen Anderson, CNP

  • Family Nurse Practitioner
  • Cambridge, OH
National Provider Identifier
1154747855
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.15690-NP Issued in OH
Practice address
1230B Clark St
Cambridge, OH 43725-9611
Phone
(740) 439-9911
Fax
(740) 439-8993
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.15690-NP OH Primary

Addresses

Primary practice location

1230B Clark St
Cambridge, OH 43725-9611

Mailing address

1230B Clark St
Cambridge, OH 43725-9611
Phone (740) 439-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20140828001277 OH Practitioner - Nurse Practitioner 5890913198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muskingum Valley Health CentersGroup PAC ID 4789760216, 74 clinicians

Practice addresses (Care Compare)

1330 Clark St
Cambridge, OH 43725-9614
Phone (740) 421-9530

Hospital & facility affiliations

  • Southeastern Ohio Regional Medical Center Hospital, Cambridge, OH, CCN 360203
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.15690-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers Current Accepting new patients
Muskingum Valley Health Centers CurrentSince Sep 4, 2017 Accepting new patients
Muskingum Valley Health Centers CurrentSince Sep 4, 2017 Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients
Muskingum Valley Health Centers Past Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

316 Clark St
Cambridge, OH 43725
Phone (740) 432-7600

1230 Clark St
Apt B
Cambridge, OH 43725
Phone (740) 439-3338

1230 Clark St
Cambridge, OH 43725
Phone (740) 439-9911

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

1205 Cambridge Rd
#100
Coshocton, OH 43812
Phone (740) 622-9433

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1154747855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230B CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259611",
            "telephone_number": "740-439-9911",
            "fax_number": "740-439-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230B CLARK ST",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437259611",
            "telephone_number": "740-439-9911",
            "fax_number": "740-439-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KIMBERLY",
        "middle_name": "EILEEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15690-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, OH

Sources for this page

Verify at the official NPI Registry.