Individual provider Active NPI

Kimberly Tunell Haber, APRN,MSN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1366353112
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2026044217 Issued in MO
Practice address
2441 Myra Dr # 11
Cape Girardeau, MO 63703-5803
Phone
(573) 573-5203
Fax
(573) 908-7839
NPI assigned
Sep 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2026044217 MO Primary

Addresses

Primary practice location

2441 Myra Dr # 11
Cape Girardeau, MO 63703-5803

Mailing address

2441 Myra Dr # 11
Cape Girardeau, MO 63703-5803
Phone (573) 520-3484

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1366353112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 MYRA DR # 11",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035803",
            "telephone_number": "573-520-3484",
            "fax_number": "573-908-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 MYRA DR # 11",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035803",
            "telephone_number": "573-573-5203",
            "fax_number": "573-908-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "KIMBERLY",
        "middle_name": "TUNELL",
        "name_prefix": "Mrs.",
        "credential": "APRN,MSN,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2026044217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.