Tresea Marie Kimball, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

234193-1 Issued in NY

Practice address

4935 State Route 245
Naples, NY 14512-9602

Phone

(585) 374-9765

NPI assigned

May 11, 2010

Last updated

May 11, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273536000000",
    "number": "1255659595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 STATE ROUTE 245",
            "city": "NAPLES",
            "state": "NY",
            "postal_code": "145129602",
            "telephone_number": "585-374-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 STATE ROUTE 245",
            "city": "NAPLES",
            "state": "NY",
            "postal_code": "145129602",
            "telephone_number": "585-374-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "TRESEA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "234193-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Sue Foote, P.A.
• Jodi Gleichauf
• Polly Halladay
• Kimberly Henderson
• Jeffrey C. Long, MD (Naples Valley Family Practice)
• Jeffrey Clarke Long, M.D.
• Kelley Jay Louthan
• Dawn Elizabeth Martin, CCC-SLP
• Gabriel Thomas Murphy Echeverria
• Naples Ambulance Inc.

• Licensed Practical Nurse in Naples, NY
• Providers in Naples, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.