Nfor Theodore Kimbi

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1010 Wisconsin Ave
Suite 30
Washington DC, DC 20007

Phone

(202) 289-1201

Fax

(202) 289-5461

NPI assigned

Jan 23, 2014

Last updated

Jun 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Redeem Health Care Services LLC

  • Developmental Disabilities Clinic/Center
  • Washington, DC
  • NPI 1558115287
  NPD Authorized official

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1326461567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WISCONSIN AVE",
            "address_2": "SUITE 30",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20007",
            "telephone_number": "202-289-1201",
            "fax_number": "202-289-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WISCONSIN AVE",
            "address_2": "SUITE 30",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20007",
            "telephone_number": "202-289-1201",
            "fax_number": "202-289-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBI",
        "first_name": "NFOR",
        "middle_name": "THEODORE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "K-510-627-792-427",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry J Kaminski, M.D.
• Kenilworth Avenue North Services (The Residences at Kenilworth Park)
• Muhammad Mussab Khakwani, MD
• Saifullah Khan, M.D., M.B.B.S.
• Unmi Ko Kim, M.D.
• Teresa Denise King, PSYD
• Satesh Kumar, M.D.
• Jack Kuo
• Marquita Nicole Lawson
• Sang Yun Lee

• Case Manager/Care Coordinator in Washington DC, DC
• Providers in Washington DC, DC by specialty
• Case Manager/Care Coordinator in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.