Donna McKimm, RN, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPPA033954 Issued in PA

Practice address

3225 Rich Valley Rd
Emporium, PA 15834

Phone

(814) 366-1139

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, 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.

• Olean General Hospital

  • Pediatrics Physician
  • Bradford, PA
  • NPI 1073956850

  Family

  NPD (past)

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1396940771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 RICH VALLEY RD",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158344119",
            "telephone_number": "814-366-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 RICH VALLEY RD",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "15834",
            "telephone_number": "814-366-1139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 School St",
            "address_purpose": "LOCATION",
            "city": "Bradford",
            "state": "PA",
            "postal_code": "167011257",
            "country_code": "US",
            "telephone_number": "814-362-7466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKIMM",
        "first_name": "DONNA",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN554317",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "NPPA033954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keystone Rural Health Consortia, Inc.
• Savanah Marie Krivonyak, RDH, PHDHP
• Victor Lahnovych, MD
• Thomas Luchs
• A Blair Lundberg, RPH
• Renee Mostyn
• Valerie Lynn Nolder, LPC, MFT
• Miranda Peiper, LPC
• Jodi Rae Regulski, P.A.-C
• Laira Rose Reuscher

• Family Nurse Practitioner in Emporium, PA
• Providers in Emporium, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.