Kimberley Clothier, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

042538 Issued in KS

Practice address

3715 N Oliver St
Wichita, KS 67220

Phone

(316) 942-4519

Fax

(316) 942-4655

NPI assigned

Jul 12, 2005

Last updated

Oct 5, 2020By 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 KS

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

Credentials

Physician Assistant

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.

• Advanced Pain Medicine Associates, LLC

  • Specialist
  • Wichita, KS
  • NPI 1083982037
  Medicare reassignment
• Mid-America Orthopedics KC LLC

  • Orthopaedic Surgery Physician
  • Leawood, KS
  • NPI 1689034472
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1356349443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672203404",
            "telephone_number": "316-942-4519",
            "fax_number": "316-262-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67220",
            "telephone_number": "316-942-4519",
            "fax_number": "316-942-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOTHIER",
        "first_name": "KIMBERLEY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "042538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Red Rose Cline, LMSW-T
• Stephanie Rose Cline, LMFT
• Trista Cline
• Kimberly Clinesmith
• Elizabeth Clink, OT
• Cody L Cloud
• Mason Lane Cloud
• Melanie Dawn Cloud, LCMFT
• Courtney Clough, RDH AND OMT
• Marla V Clouse, LSCSW

• Physician Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physician Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.