Kimberly Sorensen, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01251900 Issued in NJ

Practice address

9404 Seaview Ave
Wildwood Crest, NJ 08260-3346

Phone

(609) 544-8275

Fax

(609) 337-3153

NPI assigned

Feb 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Burgess Psychiatric Services

  • Community/Behavioral Health Agency
  • Vineland, NJ
  • NPI 1346665007
  NPD (past)

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1447904347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9404 SEAVIEW AVE",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082603346",
            "telephone_number": "609-544-8275",
            "fax_number": "609-337-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 SEAVIEW AVE",
            "city": "WILDWOOD CREST",
            "state": "NJ",
            "postal_code": "082603346",
            "telephone_number": "609-544-8275",
            "fax_number": "609-337-3153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 S Shore Rd",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Marmora",
            "state": "NJ",
            "postal_code": "08223",
            "country_code": "US",
            "telephone_number": "609-525-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "629 E Wood St Ste 108",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083603752",
            "country_code": "US",
            "telephone_number": "856-692-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01252900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01251900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Phillips, LPN
• Richard A Renza, DO
• Richard a Renza DO PA
• Shatkin Cardiology, LLC
• Bennett J Shatkin, MD

• All providers in Wildwood Crest, NJ
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.