Active NPI
Kimberly A Lee, APRN-CNP
- Nurse Practitioner
- Lima, OH
National Provider Identifier
1205457595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0027498
- Practice address
- 2740 W Market St
Lima, OH 45805-2120 - Phone
- (419) 221-2273
- Fax
- (419) 879-2461
- NPI assigned
- Apr 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 0027498 | OH | Primary |
Addresses
Primary practice location
2740 W Market St
Lima, OH 45805-2120
Mailing address
2740 W Market St
Lima, OH 45805-2120
Phone (419) 221-2273
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cancercare.OncoEMRDirect.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 Hilty Dr
Pandora, OH 45877-9478
Phone (419) 384-3251
Hospital & facility affiliations
- Bluffton Hospital
- Mercy Health St Ritas Medical Center
- Lima Memorial Health System
- Blanchard Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pandora Family Physicians, Inc. | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
202 Hilty Dr
Pandora, OH 45877
Phone (419) 384-3251
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Pandora, OH
- NPI 1770564387
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Findlay, OH
- NPI 1710920327
-
- Critical Access Hospital
- Bluffton, OH
- NPI 1831137827
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1205457595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 W MARKET ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458052120",
"telephone_number": "419-221-2273",
"fax_number": "419-879-2461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 W MARKET ST",
"city": "LIMA",
"state": "OH",
"postal_code": "458052120",
"telephone_number": "419-221-2273",
"fax_number": "419-879-2461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-28",
"last_updated": "2023-11-27",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "0027498",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cancercare.OncoEMRDirect.com",
"affiliation": "Y",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2740 W Market St",
"city": "Lima",
"state": "OH",
"country_code": "US",
"postal_code": "458052120",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.