Active NPI
Kimberly Kay Sanders, CRN FIRST ASSISTANT
- Registered Nurse
- Morgantown, WV
National Provider Identifier
1215095518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 40474
- Practice address
- 600 Suncrest Towne Centre
Suite 310
Morgantown, WV 26505-1872 - Phone
- (304) 598-2200
- Fax
- (504) 599-2674
- NPI assigned
- Dec 5, 2006
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 40474 | WV | Primary |
Addresses
Primary practice location
600 Suncrest Towne Centre
Suite 310
Morgantown, WV 26505-1872
Mailing address
600 Suncrest Towne Centre
Suite 310
Morgantown, WV 26505-1872
Phone (304) 598-2200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0127488000 | Medicaid | WV | |
| 0126752000 | Medicaid | WV | |
| 0126874000 | Medicaid | WV | |
| 0127974000 | Medicaid | WV | |
| 3810011004 | Medicaid | WV |
Other names 1
- Mrs. Kimberly Kay Kiger
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
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40474 | WV | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1215095518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SUNCREST TOWNE CENTRE",
"address_2": "SUITE 310",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051872",
"telephone_number": "304-598-2200",
"fax_number": "504-599-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SUNCREST TOWNE CENTRE",
"address_2": "SUITE 310",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051872",
"telephone_number": "304-598-2200",
"fax_number": "504-599-2674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERS",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"name_prefix": "Mrs.",
"credential": "CRN FIRST ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WV",
"license": "40474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0127488000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0126752000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0126874000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0127974000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810011004",
"state": "WV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "KIGER",
"middle_name": "KAY",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.