Sheila Catherine Kimball, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F352722-01 Issued in NY

Practice address

13116 Rockaway Beach Blvd
Apt 1a
Belle Harbor, NY 11694-1453

Phone

(718) 640-4096

NPI assigned

Jul 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1487095519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13116 ROCKAWAY BEACH BLVD",
            "address_2": "APT 1A",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941453",
            "telephone_number": "718-640-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13116 ROCKAWAY BEACH BLVD",
            "address_2": "APT 1A",
            "city": "BELLE HARBOR",
            "state": "NY",
            "postal_code": "116941453",
            "telephone_number": "718-640-4096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1283 York Avenue",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10065",
            "country_code": "US",
            "telephone_number": "646-962-9247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "SHEILA",
        "middle_name": "CATHERINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2024-08-02",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "667988",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F352722-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Hoban Mitterway, MS,OTR/L
• Monica C Kalfur, MS CCC-SLP
• Marla Ann Kapelner, OTR/L
• Robyn Kapelner, M.S. RPA-C
• Cecilia Kelleher
• Casey Koeneke, M.A., CCC-SLP, TSSLD
• Morgan Koenig
• Eileen Marie Laide, M.S. CCC-SLP
• Marisa Joan Larsen, FNP-BC
• David Ira Lichtenstein, M.D.

• Nurse Practitioner in Belle Harbor, NY
• Providers in Belle Harbor, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.