Individual provider Active NPI

Kimberly Kay Netling, DOM

  • Acupuncturist
  • Vero Beach, FL
National Provider Identifier
1205429032
Registry record updated Apr 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
4224 Issued in FL
Practice address
87 Royal Palm PT
Vero Beach, FL 32960-4253
Phone
(772) 774-7775
Fax
(772) 264-3183
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 4224 FL Primary

Addresses

Primary practice location

87 Royal Palm PT
Vero Beach, FL 32960-4253

Mailing address

PO Box 280
Vero Beach, FL 32961-0280
Phone (772) 774-7775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vim Acupuncture and Integrated Wellness Center, LLC Acupuncturist CurrentSince Mar 7, 2021 Accepting new patients

Locations

87 Royal Palm Pt
Vero Beach, FL 32960
Phone (772) 333-8647

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.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1205429032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329610280",
            "telephone_number": "772-774-7775",
            "fax_number": "772-264-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ROYAL PALM PT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604253",
            "telephone_number": "772-774-7775",
            "fax_number": "772-264-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETLING",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "DOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2022; 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.