Kimberley Kelly Thomas, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

11022018 Issued in FL

Practice address

724 NW 43Rd St
Gainesville, FL 32607-6110

Phone

(352) 332-7222

NPI assigned

Nov 14, 2022

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

Merit-based Incentive Payment System (MIPS)

Final score

88.76 of 100Reported as group

Quality

84.84

Promoting interoperability

100

Improvement activities

40

Cost

77.7

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1194433714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076110",
            "telephone_number": "352-332-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY THOMAS",
        "first_name": "KIMBERLEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "11022018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erinn Samantha Kellner, M.D.
• Robert Kello Jr.
• Heidi-Marie Alexandra Kellock, MD
• Alexandra Grayson Kells, MD
• Taelor Kellum
• Adam G Kelly, MD
• Adaric Kelly
• Amber Rae Kelly, LCSW
• Brian James Kelly, PHARMD
• Cameron Michael Kelly, MD

• Obstetrics & Gynecology Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.