Individual provider Active NPI

Kimbraley Nanette Scharg, NURSE PRACTITIONER

  • Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1346758273
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704245809 Issued in MI
Practice address
5342 Woodlands Estates Dr N
Bloomfield Hills, MI 48302-2873
Phone
(313) 820-8985
NPI assigned
Jan 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704245809 MI Primary

Addresses

Primary practice location

5342 Woodlands Estates Dr N
Bloomfield Hills, MI 48302-2873

Mailing address

5342 Woodlands Estates Dr N
Bloomfield Hills, MI 48302-2873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Onsight, Inc. Past Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients

Organizations & group practices 2

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1346758273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 WOODLANDS ESTATES DR N",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 WOODLANDS ESTATES DR N",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483022873",
            "telephone_number": "313-820-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHARG",
        "first_name": "KIMBRALEY",
        "middle_name": "NANETTE",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704245809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.