Trisha Kimball

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9345379 Issued in FL

Practice address

10461 SW Highway 484
Dunnellon, FL 34432-5741

Phone

(352) 873-9696

NPI assigned

Sep 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Wisdo Family Medicine, James John Wisdo DO PA

  • Family Medicine Physician
  • Ocala, FL
  • NPI 1053458455
  Medicare reassignment NPD
• Cloud Health Medical Group, P.a.

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1528744935
  NPD (past)
• Mochi Medical Ca PC

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1467900142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10461 SW HIGHWAY 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10461 SW HIGHWAY 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325741",
            "telephone_number": "352-873-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "TRISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9345379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha J Karetas, LPN, NBC-HWC
• Kashiben Say LLC
• Kenduck Izquierdo Support Services, Inc
• Brenda M Kenduck
• Kidney Care of Dunnellon LLC
• Miriam Koshy, DMD
• Alison Faye Koskos
• Amanda Jill Kozinko
• Samantha Nicole Kreisle, ARNP
• L.a. Oliverio,MD Enterprises, Inc.

• Family Nurse Practitioner in Dunnellon, FL
• Providers in Dunnellon, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.