Kymbella Wellness Center & Exotics

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

KYMBELLA WELLNESS CENTER & EXOTICS

Practice address

6640 S US Highway 1
Port St Lucie, FL 34952-1421

Phone

(888) 596-2352

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Anderson, DNP, APRN, FNP-CNPI 1124659594

Title

Owner

Phone

(888) 596-2352

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly G Anderson, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1124659594
  NPD Authorized official

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1215650239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6640 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521421",
            "telephone_number": "888-596-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521421",
            "telephone_number": "888-596-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYMBELLA WELLNESS CENTER & EXOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-596-2352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Conrad James Kusel Jr., D.D.S.
• Bruce A Kushner, D.M.D.
• Robert Matthew Kustarz, MS DC
• Victoria Kustarz, DC
• Kymbella Healthcare
• Lab Stop USA, Inc
• Kenneth Francis Labarge III, DC
• Gusti Labatte-Deneau, ARNP
• Amanda Lynn Labigang, ARNP
• Jack Lacalamita, MD

• Family Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.