Kimberly G Quinn

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002074617 Issued in VA

Practice address

500 Pegasus CT Ste 508
Winchester, VA 22602-4596

Phone

(800) 805-6989

NPI assigned

Apr 2, 2022

Sex

Female

Sole proprietor

No

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

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": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1497496772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TWINLEAF WAY",
            "city": "LAKE FREDERICK",
            "state": "VA",
            "postal_code": "226302292",
            "telephone_number": "540-532-8933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PEGASUS CT STE 508",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226024596",
            "telephone_number": "800-805-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-02",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002074617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quad/Med, LLC
• Hamzah Abdullah M Qudah, MD
• Julianna Nemitz Quick, LPC
• Leah Quick
• John Charles Quinn, MD
• Marie Quinn
• Deveney Quinney, LPC
• Mustafa Qutachi
• Yekaterina Rabkin, MD
• William Raboff, M.D.

• Licensed Practical Nurse in Winchester, VA
• Providers in Winchester, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.