Active NPI
Cheryl Lynn Kimbrell
- Massage Therapist
- Winchester, KY
National Provider Identifier
1457675795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4015
- Practice address
- 708 W Lexington Ave
Winchester, KY 40391-1357 - Phone
- (859) 744-6250
- NPI assigned
- Mar 16, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | |||
| Massage Therapist | 225700000X | 4015 | KY | Primary |
Addresses
Primary practice location
708 W Lexington Ave
Winchester, KY 40391-1357
Mailing address
505 College St
Winchester, KY 40391-1824
Phone (859) 595-0535
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4015 | KY | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1457675795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 COLLEGE ST",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911824",
"telephone_number": "859-595-0535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 W LEXINGTON AVE",
"city": "WINCHESTER",
"state": "KY",
"postal_code": "403911357",
"telephone_number": "859-744-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRELL",
"first_name": "CHERYL",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-16",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "KY",
"license": "4015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winchester, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.