Kimla Kaye McDaniel-Nagari, AGNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0024182956 Issued in VA

Practice address

6330 Quadrangle Dr
Chapel Hill, NC 27517-8279

Phone

(919) 932-5700

Fax

(919) 933-6881

NPI assigned

Feb 26, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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

State licenses

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.

• Premier Geriatric Solutions PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Roanoke, VA
  • NPI 1568093672
  Medicare reassignment NPD

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1497389654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MAIN ST",
            "city": "NEW CASTLE",
            "state": "VA",
            "postal_code": "241277546",
            "telephone_number": "601-876-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 QUADRANGLE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178279",
            "telephone_number": "919-932-5700",
            "fax_number": "919-933-6881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 Main St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "VA",
            "postal_code": "241277546",
            "country_code": "US",
            "telephone_number": "601-876-8408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 Main St",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "VA",
            "postal_code": "241277546",
            "country_code": "US",
            "telephone_number": "601-876-8408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL-NAGARI",
        "first_name": "KIMLA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD1100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Dialysis, Peritoneal",
            "state": "VA",
            "license": "0001291281",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024182956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassie Lyn McCullagh, M.D.
• Karen L McCulloch
• Kristin Bruce McCulloch, M.A.
• McCullough Speech Therapy, PLLC
• Vanessa Loiselle McCullough, M.S. CCC-SLP
• Courtney Parker McDaniel
• Grant McDaniel, MD
• Kyle Evan McDaniel, MD
• Laura McDaniel
• Matthew Ramseur McDaniel, MD

• Gerontology Nurse Practitioner in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.