Active NPI
Kimberly Renee Choate, LMSW
- Social Worker
- Urbana, MO
National Provider Identifier
1467070227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2019034410
- Practice address
- 111 Main St
Urbana, MO 65767 - Phone
- (417) 993-1002
- Fax
- (417) 993-1006
- NPI assigned
- Jul 8, 2020
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2019034410 | MO | Primary |
Addresses
Primary practice location
111 Main St
Urbana, MO 65767
Mailing address
18614 Jackson Street
PO Box 125
Hermitage, MO 65668-0125
Phone (417) 745-2121
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 |
|---|---|---|---|
| 2019034410 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citizens Memorial Healthcare | Social Worker | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1467070227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18614 JACKSON STREET",
"address_2": "PO BOX 125",
"city": "HERMITAGE",
"state": "MO",
"postal_code": "656680125",
"telephone_number": "417-745-2121",
"fax_number": "417-745-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MAIN ST",
"city": "URBANA",
"state": "MO",
"postal_code": "65767",
"telephone_number": "417-993-1002",
"fax_number": "417-993-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOATE",
"first_name": "KIMBERLY",
"middle_name": "RENEE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-08",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2019034410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.