NPIMap

Individual provider Active NPI

Kimberly Jordan Stone, MD

  • Family Medicine Physician
  • Carrollton, VA
National Provider Identifier
1184698672
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101240770 Issued in VA
Practice address
13609 Carrollton Blvd
Suite 11
Carrollton, VA 23314-3214
Phone
(757) 238-8751
Fax
(757) 238-8750
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 022883 LA
Family Medicine Physician 207Q00000X 0101240770 VA Primary

Addresses

Primary practice location

13609 Carrollton Blvd
Suite 11
Carrollton, VA 23314-3214

Mailing address

13609 Carrollton Blvd
Suite 11
Carrollton, VA 23314-3214
Phone (757) 238-8751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070511000165 VA Practitioner - Family Practice 9537265301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bon Secours Medical Group Hampton Roads Primary Care LLCGroup PAC ID 0941632756, 62 clinicians

Practice addresses (Care Compare)

3537 Airline Blvd
Suite 1
Portsmouth, VA 23701-2650
Phone (757) 738-1225

Hospital & facility affiliations

  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017
  • Bon Secours Harbour View Medical Center Hospital, Suffolk, VA, CCN 490148
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Bon Secours Southampton Memorial Hospital Hospital, Franklin, VA, CCN 490092
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
022883LAMDFamily Medicine Physician
0101240770VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Primary Care LLC CurrentSince Jan 1, 2020 Accepting new patients

Locations

13609 Carrollton Blvd
Ste 11
Carrollton, VA 23314
Phone (757) 238-8751

155 Kingsley Ln
Ste 150
Norfolk, VA 23505
Phone (757) 278-2350

3537 Airline Blvd
Ste 1
Portsmouth, VA 23701
Phone (757) 738-1225

5818 Harbour View Blvd
Ste 250
Suffolk, VA 23435
Phone (757) 673-5890

Interoperability endpoints

  • Direct secure messaging: kstone859554@direct.bsmhealth.org

Organizations & group practices 1

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1184698672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 CARROLLTON BLVD",
            "address_2": "SUITE 11",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143214",
            "telephone_number": "757-238-8751",
            "fax_number": "757-238-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 CARROLLTON BLVD",
            "address_2": "SUITE 11",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233143214",
            "telephone_number": "757-238-8751",
            "fax_number": "757-238-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "KIMBERLY",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022883",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101240770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, VA

Sources for this page

Verify at the official NPI Registry.