Active NPI
Kimberly Bisogno, ARNP
- Nurse Practitioner
- Boca Raton, FL
National Provider Identifier
1447574462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2863222
- Practice address
- 9030 Kimberly Blvd
Boca Raton, FL 33434-2823 - Phone
- (954) 431-7681
- Fax
- (954) 431-7682
- NPI assigned
- Mar 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2863222 | FL | Primary |
Addresses
Primary practice location
9030 Kimberly Blvd
Boca Raton, FL 33434-2823
Mailing address
9030 Kimberly Blvd
Boca Raton, FL 33434-2823
Phone (954) 431-7681
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2863222 | FL | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1447574462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9030 KIMBERLY BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342823",
"telephone_number": "954-431-7681",
"fax_number": "954-431-7682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 KIMBERLY BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342823",
"telephone_number": "954-431-7681",
"fax_number": "954-431-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISOGNO",
"first_name": "KIMBERLY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "2863222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.