Individual provider Active NPI

Kimberly Ann Casey, RN

  • Ambulatory Care Registered Nurse
  • Deerfield Beach, FL
National Provider Identifier
1497461537
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
RN9219869 Issued in FL
Practice address
111 Jim Moran Blvd
Deerfield Beach, FL 33442-1701
Phone
(954) 429-2418
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X RN9219869 FL Primary

Addresses

Primary practice location

111 Jim Moran Blvd
Deerfield Beach, FL 33442-1701

Mailing address

111 Jim Moran Blvd
Deerfield Beach, FL 33442-1701
Phone (954) 429-2418

Other practice location 1

5350 W Sample Rd
Margate, FL 33073-3409
Phone (954) 969-3303

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9219869FLMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
JM Family Enterprise Past Accepting new patients
JM Family Enterprises, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1497461537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 JIM MORAN BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421701",
            "telephone_number": "954-429-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JIM MORAN BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421701",
            "telephone_number": "954-429-2418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 W Sample Rd",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330733409",
            "country_code": "US",
            "telephone_number": "954-969-3303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEY",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "FL",
            "license": "RN9219869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.