Active NPI
Kimberly E Gerardi
- Psychiatric/Mental Health Nurse Practitioner
- Georgetown, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- L8-0000115
- Practice address
- 544 S Bedford St
Georgetown, DE 19947-1852 - Phone
- (302) 856-5135
- NPI assigned
- Jul 4, 2006
- Last updated
- Sep 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8-0000115 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
| L10000107 | DE | MD | Community Health/Public Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Dover LLC | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current | Accepting new patients | |
| Uhs of Rockford LLC | Current | Accepting new patients | |
| State of Delaware | Past | Accepting new patients | |
| Fellowship Health Resources, Inc | Past | 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.
-
dba RI International
- Community/Behavioral Health Agency
- Ellendale, DE
- NPI 1588915698
-
- Psychiatric Hospital
- Newark, DE
- NPI 1942273552
-
dba Ri International
- Community/Behavioral Health Agency
- Raleigh, NC
- NPI 1902776107
-
dba CCHS Infectious Disease
- Infectious Disease Physician
- Wilmington, DE
- NPI 1326022476
-
- Public Health or Welfare Agency
- Dover, DE
- NPI 1013089895
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bala Cynwyd, PA
- NPI 1861721854
-
dba Elwyn Adult Behavioral Health Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lincoln, RI
- NPI 1245239680
-
- Psychiatry Physician
- Bala Cynwyd, PA
- NPI 1659452027
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
- Georgetown Dental Associates
- Georgetown Family Medicine
- Georgetown Medical Associates, LLC
- Georgetown Medical Elder Care LLC
- Georgetown SNF Operations LLC (Delaware Bay Rehabilitation and Healthcare Center)
- Katharine Elizabeth Giannaras, OTR/L
- Staci Warrington Givens
- Arushi Goel, MD
- Luann Goldfarb, RRT
- Felicitas O Gontang, LCSW,ICADC,ICCDPD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.