Kimberly Marie Patrick, ADN-RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704222756 Issued in MI

Practice address

608 Wright Ave
Alma, MI 48801-1600

Phone

(989) 463-4971

Fax

(989) 463-6515

NPI assigned

Oct 17, 2008

Last updated

Mar 29, 2012By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1215189501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "address_2": "608 WRIGHT AVE.",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488010069",
            "telephone_number": "989-463-4971",
            "fax_number": "989-463-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011600",
            "telephone_number": "989-463-4971",
            "fax_number": "989-463-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "ADN-RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704222756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braeden Tyler Paine
• Ryan Palmer, LMSW
• Miranda Papenfuse, LPC
• Kenda J Parker, NP-C
• Chhaya Patel, MD
• Donna Patterson
• Elizabeth Leigh Peake
• Kaylee Penland
• Clara Perez-Soto
• Mickaela Perez

• Registered Nurse in Alma, MI
• Providers in Alma, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.