Individual provider Active NPI

Kimberly E Gerardi

  • Psychiatric/Mental Health Nurse Practitioner
  • Georgetown, DE
National Provider Identifier
1215967278
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0000115 Issued in DE
Practice address
544 S Bedford St
Georgetown, DE 19947-1852
Phone
(302) 856-5135
NPI assigned
Jul 4, 2006
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0000115 DE Primary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X L10000107 DE

Addresses

Primary practice location

544 S Bedford St
Georgetown, DE 19947-1852

Mailing address

PO Box 30170
Wilmington, DE 19805-7170
Phone (302) 623-7019

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817000046 DE Practitioner - Nurse Practitioner 8325011547 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L8-0000115DEMDPsychiatric/Mental Health Nurse Practitioner
L10000107DEMDCommunity Health/Public Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Dover LLC CurrentSince Dec 28, 2016 Accepting new patients
Recovery Innovations, Inc CurrentSince Dec 28, 2017 Accepting new patients
Recovery Innovations, Inc CurrentSince Dec 28, 2017 Accepting new patients
Uhs of Rockford LLC CurrentSince Sep 4, 2012 Accepting new patients
State of Delaware Past Accepting new patients
Fellowship Health Resources, Inc PastSince Nov 26, 2001 Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients
Vista Medical Services, Inc. Past Accepting new patients
David Kalkstein MD PC Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

11361 N 99th Ave
Ste 402
Peoria, AZ 85345
Phone (602) 636-4379

725 Horsepond Rd
Dover, DE 19901
Phone (302) 741-0140

700 Main St
Ellendale, DE 19941
Phone (302) 424-5660

100 Rockford Dr
Newark, DE 19713
Phone (302) 892-4204

659 E Chestnut Hill Rd
Newark, DE 19713
Phone (302) 300-3111

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1215967278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198057170",
            "telephone_number": "302-623-7019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 S BEDFORD ST",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471852",
            "telephone_number": "302-856-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERARDI",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000115",
            "primary": true
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "DE",
            "license": "L10000107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.