Individual provider Active NPI

Kimberly D Jasch, ARNP

  • Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1467775056
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP2732962 Issued in FL
Practice address
5460 63Rd St E
Ste 200 B
Bradenton, FL 34203-7808
Phone
(941) 316-8200
Fax
(941) 316-8199
NPI assigned
Mar 10, 2010
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP2732962 FL Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP2732962 FL

Addresses

Primary practice location

5460 63Rd St E
Ste 200 B
Bradenton, FL 34203-7808

Mailing address

700 8TH Ave W
Ste 101
Palmetto, FL 34221-4737
Phone (941) 776-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131204001434 FL Practitioner - Certified Nurse Midwife (CNM) 4880722503 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Aug 21, 2014 Accepting new patients
Natural Healing Arts Medical Center, Inc. CurrentSince Mar 12, 2010 Accepting new patients
MCR Health, Inc. CurrentSince Aug 21, 2014 Accepting new patients
MCR Health, Inc. Past Accepting new patients
MCR Health, Inc. Past Accepting new patients
Sunset Sports Medicine LLC PastSince Sep 14, 2025 Accepting new patients
Larson Family Foundation Inc PastSince Sep 25, 2007 Accepting new patients

Locations

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

1515 26th Ave E
Bradenton, FL 34208
Phone (941) 708-7607

2215 59th St W
Bradenton, FL 34209
Phone (941) 753-0006

2215 59th St W
#A
Bradenton, FL 34209
Phone (941) 761-4994

2215A 59th St W
Bradenton, FL 34209
Phone (941) 761-4994

2318 Manatee Ave W
Bradenton, FL 34205
Phone (941) 714-7150

3501 Cortez Rd W
Ste 1
Bradenton, FL 34210
Phone (941) 909-7066

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

6040 State Road 70 E
Bradenton, FL 34203
Phone (941) 316-8200

6040 State Road 70 E
Unit A
Bradenton, FL 34203
Phone (941) 316-8200

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

700 8th Ave W
Ste 101
Palmetto, FL 34221
Phone (941) 776-4008

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

Interoperability endpoints

  • Direct secure messaging: kimberly.jasch.1@11352.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1467775056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 8TH AVE W",
            "address_2": "STE 101",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342214737",
            "telephone_number": "941-776-4008",
            "fax_number": "941-845-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 63RD ST E",
            "address_2": "STE 200 B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342037808",
            "telephone_number": "941-316-8200",
            "fax_number": "941-316-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASCH",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2732962",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP2732962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.