Kimballs Healthcare Consultants

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.011296 Issued in IL

Legal business name

KIMBALLS HEALTHCARE CONSULTANTS

Practice address

430 E 162ND St
South Holland, IL 60473-2258

Phone

(708) 369-2241

NPI assigned

Aug 9, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline M Kimball, N.P.

Title

Family Nurse Practitioner

Phone

(708) 369-2241

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1154875011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 ELLIS AVE",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604731740",
            "telephone_number": "708-369-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E 162ND ST",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732258",
            "telephone_number": "708-369-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBALLS HEALTHCARE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "KIMBALL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "708-369-2241",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.011296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kemtos Incorporation
• Patricia Kenerson, COTA
• Kevlar Express Transit LLC
• Mohayya Khilfeh, M.D.
• Rajiv Khurana, D.D.S.
• Tamaraka King-Audu, DEVELOPMENTAL THERAP
• Tonia E. King
• Leta M Knighten, R.PH
• Allison G Kocher
• Timothy J Krygsheld, DPM, FACFAS

• All providers in South Holland, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.