NPIMap

Organization Active NPI

Dr Kimberlyann Marsden LLC

  • Clinical Psychologist
  • Fernandina, FL
National Provider Identifier
1356010698
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR KIMBERLYANN MARSDEN LLC
Practice address
991 Ocean Bluff Dr
Fernandina, FL 32034-2297
Phone
(904) 844-2344
NPI assigned
Sep 9, 2021
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Kimberlyann MarsdenNPI 1184295339
Title
Owner
Phone
(904) 844-2344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

991 Ocean Bluff Dr
Fernandina, FL 32034-2297

Mailing address

991 Ocean Bluff Dr
Fernandina, FL 32034-2297

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1356010698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 OCEAN BLUFF DR",
            "city": "FERNANDINA",
            "state": "FL",
            "postal_code": "320342297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 OCEAN BLUFF DR",
            "city": "FERNANDINA",
            "state": "FL",
            "postal_code": "320342297",
            "telephone_number": "904-844-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KIMBERLYANN MARSDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "MARSDEN",
        "authorized_official_first_name": "KIMBERLYANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-844-2344"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.