Active NPI
Kimberly Ann Ashburn
- Case Manager/Care Coordinator
- Flint, MI
National Provider Identifier
1356714398
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Dec 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 0103176
- Practice address
- 3714 Comanche Ave
Flint, MI 48507-4305 - Phone
- (810) 308-2473
- NPI assigned
- Nov 12, 2015
- Last updated
- Sep 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 0103176 | MI | Primary |
Addresses
Primary practice location
3714 Comanche Ave
Flint, MI 48507-4305
Mailing address
3714 Comanche Ave
Flint, MI 48507-4305
Phone (810) 308-2473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103176 | Other | MI | PROVIDER NUMBER |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0103176 | MI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1356714398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 COMANCHE AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485074305",
"telephone_number": "810-308-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 COMANCHE AVE",
"city": "FLINT",
"state": "MI",
"postal_code": "485074305",
"telephone_number": "810-308-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHBURN",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-12",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "0103176",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "0103176",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.