Susan Kimeria

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

713 W New York Ave Ste 202
Deland, FL 32720-5201

Phone

(386) 624-6812

Fax

(386) 401-2446

NPI assigned

Sep 28, 2021

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Royal Health Care Services

  • Community/Behavioral Health Agency
  • Deland, FL
  • NPI 1902554355
  NPD Authorized official
• Royal Health Care Services

  • Home Health Agency
  • Deland, FL
  • NPI 1952996761

  Case Manager/Care Coordinator

  NPD Authorized official

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1164194239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W NEW YORK AVE STE 202",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205201",
            "telephone_number": "386-624-6812",
            "fax_number": "386-401-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W NEW YORK AVE STE 202",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327205201",
            "telephone_number": "386-624-6812",
            "fax_number": "386-401-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMERIA",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112829500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113844300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116025500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Kelton, RD
• Cescille C Kerr, PMHNP-BC
• Julie Kersey
• Ebram Khela
• Iliya Khramov, M.D.
• Justin P Kittredge, MD
• Kaylin Mae Kluvi, CSTFA
• Alissa Knight, LCSW
• Edward Vincent Kornuszko, PSY.D.
• Andrew J Kovachy, ATC, LAT

• Community/Behavioral Health Agency in Deland, FL
• Providers in Deland, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.