Active NPI
Kimberly Biberstein
- Specialist
- Anderson, IN
National Provider Identifier
1467882415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 310053339A
- Practice address
- 5325 Main St
Anderson, IN 46013-1702 - Phone
- (765) 642-0201
- Fax
- (765) 642-1440
- NPI assigned
- Nov 12, 2013
- Last updated
- Nov 12, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 310053339A | IN | Primary |
Addresses
Primary practice location
5325 Main St
Anderson, IN 46013-1702
Mailing address
5325 Main St
Anderson, IN 46013-1702
Phone (765) 642-0201
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 |
|---|---|---|---|
| 310053339A | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewell Center, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmentally Disabled Services Day Training Agency
- Anderson, IN
- NPI 1093861841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1467882415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5325 MAIN ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460131702",
"telephone_number": "765-642-0201",
"fax_number": "765-642-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5325 MAIN ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460131702",
"telephone_number": "765-642-0201",
"fax_number": "765-642-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIBERSTEIN",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "310053339A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.