Kimily Edmond, BS

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

R256789 Issued in TX

Practice address

1000 FM 1960 Rd W
Houston, TX 77090-2508

Phone

(346) 552-0883

NPI assigned

Jul 10, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1295413243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11694",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772931694",
            "telephone_number": "346-552-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902508",
            "telephone_number": "346-552-0883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 W 34th St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770926680",
            "country_code": "US",
            "telephone_number": "346-552-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMOND",
        "first_name": "KIMILY",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "R256789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Edmond, LPC
• Brandon Edmond
• James Willie Edmond Jr.
• Jane Covington Edmond, M.D.
• Josue Edmond, RN
• Tayler Edmond
• Jimmie E. Edmonds, LSA, OPAC
• Joseph Lindsay Edmonds Jr., MD
• Mieasha Edmonds, MA, MDIV,LPC
• Phillip W Edmonds Jr., CSA

• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.