Organization Active NPI

Kimberly Nelson Kent PHD LLC

  • Skilled Nursing Facility
  • Sanford, FL
National Provider Identifier
1447594635
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
PY8080 Issued in FL
Legal business name
KIMBERLY NELSON KENT PHD LLC
Practice address
175 River Oaks Cir
Sanford, FL 32771-9321
Phone
(407) 810-9357
NPI assigned
Nov 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Kimberly Kent, PHD
Title
Managing Member
Phone
(407) 810-9357

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PY8080 FL
Skilled Nursing Facility 314000000X PY8080 FL Primary

Addresses

Primary practice location

175 River Oaks Cir
Sanford, FL 32771-9321

Mailing address

175 River Oaks Cir
Sanford, FL 32771-9321
Phone (407) 810-9357

National Provider Directory

National Provider Directory

Locations

201 N Clyde Morris Blvd
Ste 120
Daytona Beach, FL 32114
Phone (386) 254-4029

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1447594635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 RIVER OAKS CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719321",
            "telephone_number": "407-810-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 RIVER OAKS CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327719321",
            "telephone_number": "407-810-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY NELSON KENT PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-810-9357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "PY8080",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "PY8080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.