Kimistry Wellness & Prevention

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

KIMISTRY WELLNESS & PREVENTION

Practice address

325 Goodpasture Island Rd
Eugene, OR 97401-2109

Phone

(571) 350-3276

NPI assigned

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly Kay McGrew, CHHP,HC

Title

Ceo

Phone

(541) 636-8415

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zina Nia Grace

  • Doula
  • Atlanta, GA
  • NPI 1750872776
  NPD (past)

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1427546498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 UNTHANK AVE APT 395",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974027683",
            "telephone_number": "541-636-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 GOODPASTURE ISLAND RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012109",
            "telephone_number": "571-350-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMISTRY WELLNESS & PREVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-636-8415",
        "authorized_official_credential": "CHHP,HC"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Kimball, NP
• Bryan Michael Kimbell
• Kristopher Kimberling
• Hannah E. Kimble
• Samuel Kimes
• Nancy Jean Kimmel, LPC
• Kohl Kimoto, APRN
• Ashley Marie Kincaid, LCSW
• Jana Kincaid, LMT
• Laura Kinder

• Community Health Worker in Eugene, OR
• Providers in Eugene, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.