Nancy Kimmel, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704260062 Issued in MI

Practice address

34841 Veterans PLZ
Wayne, MI 48184-1733

Phone

(313) 292-7640

NPI assigned

May 12, 2017

Last updated

May 12, 2017By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phlebotomy Career Training

  dba Garden City Medical Supply Company

  • Durable Medical Equipment & Medical Supplies
  • Garden City, MI
  • NPI 1417381013
  Authorized official Same address or phone
• Phlebotomy Career Training

  • Clinical Medical Laboratory
  • Garden City, MI
  • NPI 1902338171
  Authorized official Same address or phone

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1174050884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23850 MARSHALL ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241435",
            "telephone_number": "313-826-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34841 VETERANS PLZ",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841733",
            "telephone_number": "313-292-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "NANCY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704260062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur B Kellert, DPM
• Tongina Kennedy
• Hadiya Aleem Khan, DPM
• Manish Khare, MD
• Chang Choo Kim, M.D.
• Brittany King
• Colin F King, PHD
• Tracy Kish
• Carmen G Kislov, CRNA
• Erika N Koepke

• Family Nurse Practitioner in Wayne, MI
• Providers in Wayne, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.