Individual provider Active NPI

Kimberly Midkiff, R.N

  • Registered Nurse
  • Mansfield, OH
National Provider Identifier
1417409749
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 246946 Issued in OH
Practice address
1773 Hidden Oak TRL
Mansfield, OH 44906-3560
Phone
(419) 775-1136
NPI assigned
Nov 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN 246946 OH Primary

Addresses

Primary practice location

1773 Hidden Oak TRL
Mansfield, OH 44906-3560

Mailing address

1773 Hidden Oak TRL
Mansfield, OH 44906-3560
Phone (419) 775-1136

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 246946OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1417409749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 HIDDEN OAK TRL",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063560",
            "telephone_number": "419-775-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 HIDDEN OAK TRL",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063560",
            "telephone_number": "419-775-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDKIFF",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 246946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.