Kimberly Kimball

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-314126

Practice address

17473 Ashcomb Way
Estero, FL 33928-6517

Phone

(813) 291-4695

NPI assigned

Jul 14, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Thrive Lactation Center

  • Lactation Consultant (Registered Nurse)
  • Fort Myers, FL
  • NPI 1043987712

  Lactation Consultant, Non-RN

  NPD (past)

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1417876343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17473 ASHCOMB WAY",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17473 ASHCOMB WAY",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286517",
            "telephone_number": "813-291-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-314126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eryn Katherine Kantner
• Nadia Ameena Kazim, M.D.
• Avonlea Malynn Keedy, DC
• Nicole Shuff Kennedy, CNP
• Kevin&Jean,Inc.
• Kin Med, PA
• Janis King, APRN
• Susan R. King, PSY.D.
• Kinmed, P.a.
• Reid Kirchhoff, MSED, LMHC

• Lactation Consultant (Non-RN) in Estero, FL
• Providers in Estero, FL by specialty
• Lactation Consultant (Non-RN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.