Kimberly H Desmond, MS

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AY2158 Issued in FL

Practice address

904 B Beach Blvd
Jacksonville Beach, FL 32250

Phone

(904) 445-1622

Fax

(904) 293-1815

NPI assigned

Jan 15, 2008

Last updated

Jul 8, 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 5

Addresses

Other identifiers 3

Other names 1

• Ms. Kimberly Helen Desmond Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Mobile Audiology & Hearing AIDS LLC

  dba Mobile Audiology & Hearing

  • Audiologist
  • Jacksonville Beach, FL
  • NPI 1134758550
  Authorized official Same address or phone
• Bluegrass Audiology, LLC

  dba Bluegrass Audiology & Hearing Aids

  • Audiologist
  • Nicholasville, KY
  • NPI 1861796302
  Authorized official Same address or phone
• Connect Hearing, Inc

  • Hearing Aid Equipment
  • North Miami, FL
  • NPI 1417349200

  Audiologist

  NPD (past)
• Connect Hearing, Inc.

  • Hearing Aid Equipment
  • Cape Coral, FL
  • NPI 1477979771

  Audiologist

  NPD (past)
• Connect Hearing, Inc.

  • Hearing Aid Equipment
  • Englewood, FL
  • NPI 1508119124

  Audiologist

  NPD (past)
• Connect Hearing, Inc.

  • Hearing Aid Equipment
  • Orange Park, FL
  • NPI 1861745226

  Audiologist

  NPD (past)
• Familyhealthcare, PLLC

  • Substance Abuse Rehabilitation Facility
  • London, KY
  • NPI 1316386063
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1386820850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 TOUCHTON RD APT 2236",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322162237",
            "telephone_number": "904-445-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 B BEACH BLVD",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-445-1622",
            "fax_number": "904-293-1815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8550 Touchton Rd Apt 2236",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322162237",
            "country_code": "US",
            "telephone_number": "904-445-1622",
            "fax_number": "904-293-1815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "KIMBERLY",
        "middle_name": "H",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "KY-0419",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY2158",
            "primary": true
        },
        {
            "code": "231HA2500X",
            "taxonomy_group": "",
            "desc": "Audiologist, Assistive Technology Supplier",
            "state": "FL",
            "license": "AY2158",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "FL",
            "license": "AY2158",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "KY-0814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102216900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUEGRASS AUDIOLOGY LLC",
            "identifier": "1861796302",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100241380",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "DESMOND",
            "middle_name": "HELEN",
            "prefix": "MS.",
            "credential": "MS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shawna Degrange
• George Deitchman, PH.D.
• Jonnaly Deluna, PT, DPT
• Dental Summit PLLC (Beaches Dentistry and Wellness)
• Dermatology Group of Florida PA
• Melanie Devarona, PT, DPT
• Dianna R. Lokey OD PA
• George Raja Dibu, M.D.
• Graciela Diez-Hoeck, MD
• Melissa Dionne, LCSW

• Audiologist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.