Individual provider Active NPI

Kimberly D Lomax, RN, CCM

  • Nursing Care Agency
  • Aurora, CO
National Provider Identifier
1225877210
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
04YJXB Issued in CO
Practice address
445 S Airport Blvd
Aurora, CO 80017-2123
Phone
(443) 322-6488
NPI assigned
May 21, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X 04YJXB CO
Home Health Aide 374U00000X 04YJXB CO
Homemaker 376J00000X 04YJXB CO
Nursing Care Agency 251J00000X 04YJXB CO Primary

Addresses

Primary practice location

445 S Airport Blvd
Aurora, CO 80017-2123

Mailing address

1250 S Buckley Rd Unit I-247
Aurora, CO 80017-4180
Phone (303) 736-8138

Other names 1

  • Kimberly D Dyson-Lomax Other name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
04YJXBCOMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
KDL Health Services, LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

1250 S Buckley Rd
Unit I247
Aurora, CO 80017

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1225877210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S BUCKLEY RD UNIT I-247",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174180",
            "telephone_number": "303-736-8138",
            "fax_number": "303-736-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 S AIRPORT BLVD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800172123",
            "telephone_number": "443-322-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMAX",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "credential": "RN, CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "CO",
            "license": "04YJXB",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CO",
            "license": "04YJXB",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "CO",
            "license": "04YJXB",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CO",
            "license": "04YJXB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DYSON-LOMAX",
            "middle_name": "D",
            "credential": "RN, CCM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.