Individual provider Active NPI

Kimberly Michelle Carr, NP-C

  • Family Nurse Practitioner
  • Springboro, OH
National Provider Identifier
1245670116
Registry record updated Sep 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18494 Issued in OH
Practice address
710 N Main St
Springboro, OH 45066-8944
Phone
(937) 748-1135
NPI assigned
Jun 25, 2013
Last updated
Sep 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0613462 GA
Family Nurse Practitioner 363LF0000X 18494 OH Primary

Addresses

Primary practice location

710 N Main St
Springboro, OH 45066-8944

Mailing address

4387 Leeds Point CT
Apt 279
West Chester, OH 45069-8769
Phone (678) 520-4851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130826000663 GA Practitioner - Nurse Practitioner 6406099365 Reassigns benefits to 2 organizations
I20220915001668 OH Practitioner - Nurse Practitioner 6406099365 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mills Medical Practices LLCGroup PAC ID 4981767597, 24 clinicians
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians
Eventus Wholehealth Midwest IncGroup PAC ID 4183040470, 120 clinicians
Abode Care Partners Al VB LLCGroup PAC ID 1658403704, 48 clinicians

Practice addresses (Care Compare)

3733 Park E Dr
Suite 220
Beachwood, OH 44122-4337
Phone 80080765554

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

5467 Cedar Village Dr
Mason, OH 45040-8693
Phone (513) 754-3100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18494OHMDDentist
F0613462GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Emergency Group, LLC CurrentSince Feb 17, 2014 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients
Extended Care Specialists, Inc Family CurrentSince Mar 1, 2026 Accepting new patients
Minuteclinic LLC Family CurrentSince Jul 26, 2013 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 11, 2025 Accepting new patients
Eventus Wholehealth Midwest Inc CurrentSince Mar 1, 2026 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Jan 1, 2023 Accepting new patients
Houston County Emergency Group, LLC CurrentSince Feb 17, 2014 Accepting new patients
Mills Medical Practices, LLC CurrentSince Dec 11, 2023 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Jan 15, 2024 Accepting new patients
Mills Medical Practices, LLC CurrentSince Dec 11, 2023 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Jul 11, 2025 Accepting new patients
Mobile Medical, Inc. Past Accepting new patients

Locations

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

805 N Whittington Pkwy
Ste 200
Louisville, KY 40222

805 N Whittington Pkwy
Ste 400
Louisville, KY 40222
Phone (502) 272-3438

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

3733 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

3737 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505174400000",
    "number": "1245670116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4387 LEEDS POINT CT",
            "address_2": "APT 279",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450698769",
            "telephone_number": "678-520-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668944",
            "telephone_number": "937-748-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2017-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F0613462",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "18494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.