Kimberly Cavill, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

81731 Issued in WV

Practice address

341 Homewood Dr
Charles Town, WV 25414-5162

Phone

(304) 274-7356

NPI assigned

Jan 30, 2012

Sex

Female

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

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Alignmed Medical Group WV, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Fairmont, WV
  • NPI 1003647462
  Medicare reassignment NPD
• Geps Physician Group of West Virginia PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Follansbee, WV
  • NPI 1457729212
  Medicare reassignment NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  WV

  Medicare reassignment NPD

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1417229956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 HOMEWOOD DR",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254145162",
            "telephone_number": "304-274-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 HOMEWOOD DR",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254145162",
            "telephone_number": "304-274-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVILL",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "81731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daishaun Carroll
• Jane Carter
• Geovani Santana Castillo
• Anthony W. Casto, PA-C
• Lori Catrow, RN
• Trudi Caylor
• Jack Ronald Chambers II, DDS
• Leann Chandler
• Charles Town Family Dentistry
• Charles Town Pharmacy

• Family Nurse Practitioner in Charles Town, WV
• Providers in Charles Town, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.