Kimberly Marie Biss, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5010595 Issued in NC

Practice address

101 Hospice LN
Winston Salem, NC 27103-5766

Phone

(336) 768-3972

NPI assigned

Jun 13, 2018

Last updated

Jun 13, 2018By 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

Enrolled in NC

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

State licenses

Practice roles

Locations

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.

• Hospice & Palliative Carecenter

  dba Trellis Supportive Care

  • Internal Medicine Physician
  • Winston Salem, NC
  • NPI 1730367467
  Medicare reassignment NPD
• Hospice & Palliative Carecenter

  dba Trellis Supportive Care

  • Community Based Hospice Care Agency
  • Winston Salem, NC
  • NPI 1659300770
  NPD

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1316430382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 LAKESHORE DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651327",
            "telephone_number": "336-392-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOSPICE LN",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035766",
            "telephone_number": "336-768-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISS",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Birth Tissue Recovery
• Births Your Way
• Andrew Biscardi, MD
• Nicolas Ryan Bisig, D.M.D.
• Charlz Bisongebobetchu Bisong Jr., DO
• Michael G Bissell, CPO, FAAOP
• Randall Glenn Bissette, MD
• Sukirti Bista, M.D.
• Rosemary E Bisti, CRNA
• Margaret Bistok, PHARMD

• Family Nurse Practitioner in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.