Kimberly Ireland, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30003585 Issued in WA

Practice address

150 Dennis St SW
Tumwater, WA 98501-5459

Phone

(360) 754-6367

Fax

(360) 754-6429

NPI assigned

Nov 1, 2006

Last updated

Apr 3, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FDHGAA

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.

• Capital Medical Center Physicians LLC

  dba Olympia Family Medicine

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1629214283
  Medicare reassignment NPD
• Tumwater Family Practice Clinic

  • Family Medicine Physician
  • Tumwater, WA
  • NPI 1881638559
  Medicare reassignment NPD
• Capital Medical Center Physicians LLC

  dba Montesano Internal Medicine by MultiCare

  • Internal Medicine Physician
  • Montesano, WA
  • NPI 1710744792
  NPD
• Leyton Endicott Jump

  dba Tenino Family Practice

  • Family Medicine Physician
  • Tenino, WA
  • NPI 1851357008
  NPD (past)
• Tenino Family Practice PLLC

  • Adolescent Medicine (Family Medicine) Physician
  • Tenino, WA
  • NPI 1487056511
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1285711358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015459",
            "telephone_number": "360-754-6367",
            "fax_number": "360-754-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015459",
            "telephone_number": "360-754-6367",
            "fax_number": "360-754-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "KIMBERLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30003585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9616095",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Img Wa LLC
• Adam P Inglin, LMP
• Mandy Inman
• Innovative Sleep Centers PLLC
• Integrated Rehab Group Limited Partnership
• Tatjana Isaac, LICSW
• Jennifer Rose Ivey, CPC
• Genta Iwasaki
• Irene Iwenofu
• J&K Healthcare Enterprises Inc (Yauger Park Family Pharmacy)

• Family Nurse Practitioner in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.