Individual provider Active NPI

Kimberly Boyle

  • Personal Care Attendant
  • Cincinnati, OH
National Provider Identifier
1346842515
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
5360 Desertgold Dr
Cincinnati, OH 45247-3502
Phone
(513) 628-3962
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

5360 Desertgold Dr
Cincinnati, OH 45247-3502

Mailing address

5360 Desertgold Dr
Cincinnati, OH 45247-3502
Phone (513) 628-3962

Other practice location 1

3600 Westwood Northern Blvd Unit 82
Cincinnati, OH 45211-2539
Phone (513) 628-3962

Other identifiers 1

IdentifierTypeStateIssuer
0317399MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address boyleka@mail.uc.edu
Direct Messaging Address boyleka@mail.uc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1346842515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 DESERTGOLD DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452473502",
            "telephone_number": "513-628-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 DESERTGOLD DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452473502",
            "telephone_number": "513-628-3962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 Westwood Northern Blvd Unit 82",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452112539",
            "country_code": "US",
            "telephone_number": "513-628-3962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0317399",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boyleka@mail.uc.edu",
            "affiliation": "N",
            "address_1": "3600 Westwood Northern Blvd Unit 82",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452112539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "boyleka@mail.uc.edu",
            "affiliation": "N",
            "address_1": "5360 Desertgold Dr",
            "city": "Cincinnati",
            "state": "OH",
            "country_code": "US",
            "postal_code": "452473502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.