Charles Maina Kimani, RN BSN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

202103475RN Issued in OR

Practice address

4393 Indigo St NE
Salem, OR 97305-2137

Phone

(503) 393-0590

Fax

(503) 966-3990

NPI assigned

Nov 9, 2023

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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 and National Provider Directory roles.

• Sunnyside Afh Care LLC

  • Home Health Agency
  • Salem, OR
  • NPI 1619842135

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1396519302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 INDIGO ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973052137",
            "telephone_number": "503-393-0590",
            "fax_number": "503-966-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4393 INDIGO ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973052137",
            "telephone_number": "503-393-0590",
            "fax_number": "503-966-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMANI",
        "first_name": "CHARLES",
        "middle_name": "MAINA",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "OR",
            "license": "202103475RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misook Kim, DMD
• Seungmin Kim
• Sungjin Kim
• Tracey Kim, MD
• Yong Eul Kim, D.D.S.,M.S.
• Kimberly E Kintz
• Martha Justina Kimble, RDH
• Molly Marie Kimsey
• Kind Keepers Inc
• Kinetix Physical Therapy LLC (Salem Sportscare Physical Therapy)

• General Practice Registered Nurse in Salem, OR
• Providers in Salem, OR by specialty
• General Practice Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.