Individual provider Active NPI

Elizabeth Nyawira Kimani, FNP

  • Family Nurse Practitioner
  • Herkimer, NY
National Provider Identifier
1255913489
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
351044 Issued in NY
Practice address
321 E Albany St
Herkimer, NY 13350-2016
Phone
(315) 867-2700
Fax
(315) 867-2717
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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 1035170 TX
Family Nurse Practitioner 363LF0000X 351044 NY Primary

Addresses

Primary practice location

321 E Albany St
Herkimer, NY 13350-2016

Mailing address

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 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
I20211209000555 TX Practitioner - Nurse Practitioner 8527458355 Reassigns benefits to 2 organizations
I20231221000161 NY Practitioner - Nurse Practitioner 8527458355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

321 E Albany St
Herkimer, NY 13350-2016
Phone (315) 867-2700

Hospital & facility affiliations

  • At Home Care Inc Chha Home health agency, Oneonta, NY, CCN 337233
  • Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Dec 18, 2023 Accepting new patients
Family Care Plus Clinic, PA Family Medicine CurrentSince Sep 20, 2022 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Dec 21, 2022 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Dec 18, 2023 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
360 Therapy & Psychological Services, LLC Past Accepting new patients
Doctors Express of the Temple Area, PA Past Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

321 E Albany St
Herkimer, NY 13350
Phone (315) 867-2700

596 E Stacy Rd
Allen, TX 75002
Phone (469) 898-0199

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

6340 N Eldridge Pkwy
Ste O
Houston, TX 77041
Phone (346) 385-9181

3919 Fry Rd
Katy, TX 77449
Phone (281) 646-2273

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

4724 Lakeview Pkwy
Ste 300
Rowlett, TX 75088
Phone (469) 947-6240

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Interoperability endpoints

  • Direct secure messaging: elizabeth.kimani.1@21577.direct.athenahealth.com
  • Direct secure messaging: ekimani553038@bassett.direct-ci.net

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1255913489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ATWELL RD",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261301",
            "telephone_number": "607-547-3456",
            "fax_number": "607-547-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E ALBANY ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502016",
            "telephone_number": "315-867-2700",
            "fax_number": "315-867-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMANI",
        "first_name": "ELIZABETH",
        "middle_name": "NYAWIRA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1035170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "351044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

Verify at the official NPI Registry.