Kimberly E Kintz

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

087000274N3 Issued in OR

Legal business name

KIMBERLY E KINTZ

Practice address

195 Cottage St SE
Salem, OR 97301-3808

Phone

(503) 364-2427

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly E Kintz, ANPNPI 1598879892

Title

MD

Phone

(503) 364-2427

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly E Kintz, ANP

  • Internal Medicine Physician
  • Gresham, OR
  • NPI 1598879892
  NPD (past) Authorized official
• Timothy Michael Mahoney, M.D.

  • Internal Medicine Physician
  • Salem, OR
  • NPI 1568562239
  NPD (past)
• Mary L Richards, RN MSN CANP

  • Nurse Practitioner
  • Salem, OR
  • NPI 1700829892
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467512277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7191 RIVER BEND DR NE",
            "city": "SILVERTON",
            "state": "OR",
            "postal_code": "973819149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COTTAGE ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013808",
            "telephone_number": "503-364-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY E KINTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KINTZ",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "503-364-2427",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "087000274N3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seungmin Kim
• Sungjin Kim
• Tracey Kim, MD
• Yong Eul Kim, D.D.S.,M.S.
• Charles Maina Kimani, RN BSN
• Martha Justina Kimble, RDH
• Molly Marie Kimsey
• Kind Keepers Inc
• Kinetix Physical Therapy LLC
• King Dental PC

• Adult Health Nurse Practitioner in Salem, OR
• Providers in Salem, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.