Individual provider Active NPI

Kimberly Blind, RN FIRST ASSISTANT

  • Perioperative Clinical Nurse Specialist
  • Howell, NJ
National Provider Identifier
1275958910
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perioperative Clinical Nurse SpecialistTaxonomy code 364SP2800X
License
26NR07475400 Issued in NJ
Practice address
2 Brent Dr
Howell, NJ 07731-8922
Phone
(732) 207-3958
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perioperative Clinical Nurse Specialist 364SP2800X 26NR07475400 NJ Primary

Addresses

Primary practice location

2 Brent Dr
Howell, NJ 07731-8922

Mailing address

2 Brent Dr
Howell, NJ 07731-8922
Phone (732) 207-3958

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
26NR07475400NJMDPerioperative Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kimberly Blind Rnfa, LLC Perioperative Past Accepting new patients

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": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1275958910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BRENT DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077318922",
            "telephone_number": "732-207-3958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BRENT DR",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077318922",
            "telephone_number": "732-207-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLIND",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "RN FIRST ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP2800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perioperative",
            "state": "NJ",
            "license": "26NR07475400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.