Active NPI
Kimberley Oliver, ARDM, RVT
- Sonography Radiologic Technologist
- Plymouth, MI
National Provider Identifier
1477607182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- License
- 8566
- Practice address
- 729 W Ann Arbor TRL
Ste.200
Plymouth, MI 48170-1631 - Phone
- (734) 414-7056
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sonography Radiologic Technologist | 2471S1302X | 8566 | ND | Primary |
Addresses
Primary practice location
729 W Ann Arbor TRL
Ste.200
Plymouth, MI 48170-1631
Mailing address
15418 Oceana Ave
Allen Park, MI 48101-1956
Phone (313) 386-3814
Other names 1
- Kimberley Ellen Buness
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 |
|---|---|---|---|
| 8566 | ND | MD | Sonography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477607182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15418 OCEANA AVE",
"city": "ALLEN PARK",
"state": "MI",
"postal_code": "481011956",
"telephone_number": "313-386-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "729 W ANN ARBOR TRL",
"address_2": "STE.200",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481701631",
"telephone_number": "734-414-7056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "KIMBERLEY",
"name_prefix": "Mrs.",
"credential": "ARDM, RVT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "ND",
"license": "8566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLEY",
"last_name": "BUNESS",
"middle_name": "ELLEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.