Active NPI
Kimberly Nieves, FNP-BC
- Family Nurse Practitioner
- North Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R216543
- Practice address
- 911 Meeting St
North Bethesda, MD 20852-2375 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F334164 | NY | |
| Family Nurse Practitioner | 363LF0000X | NP200003452 | DC | |
| Family Nurse Practitioner | 363LF0000X | R216543 | MD | Primary |
Addresses
Primary practice location
911 Meeting St
North Bethesda, MD 20852-2375
Mailing address
1 Embarcadero Ctr
San Francisco, CA 94111-3628
Phone (415) 658-6791
Other practice location 1
1201 Seven Locks Rd Ste 111
Rockville, MD 20854-2957
Phone (301) 762-5020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02774165 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 G St NW
Suite 200E
Washington, DC 20001-4546
Phone (202) 660-0005
601 New Jersey Ave NW
Suite 200
Washington, DC 20001-3030
Phone (202) 660-0005
7187 Woodmont Ave
Bethesda, MD 20815-6208
Phone (888) 663-6331
911 Meeting St
Rockville, MD 20852-2375
Phone (888) 663-6331
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003394 | CT | MD | Clinical Social Worker |
| F334164 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Care Center LLC | Current | Accepting new patients | |
| One Medical Group, P.C. | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812
601 New Jersey Ave NW
Ste 200
Washington, DC 20001
Phone (202) 204-1090
1827 Adams Mill Rd NW
Ste C
Washington, DC 20009
Phone (202) 627-1901
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
1201 Seven Locks Rd
Ste 111
Rockville, MD 20854
Phone (301) 762-5020
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Washington, DC
- NPI 1417571530
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Internal Medicine Physician
- Washington, DC
- NPI 1962798645
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1497799365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113628",
"telephone_number": "415-658-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 MEETING ST",
"city": "NORTH BETHESDA",
"state": "MD",
"postal_code": "208522375",
"telephone_number": "888-663-6331",
"fax_number": "415-252-7176"
}
],
"practiceLocations": [
{
"address_1": "1201 Seven Locks Rd Ste 111",
"address_purpose": "LOCATION",
"city": "Rockville",
"state": "MD",
"postal_code": "208542957",
"country_code": "US",
"telephone_number": "301-762-5020",
"fax_number": "301-294-7569",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEVES",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F334164",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "NP200003452",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R216543",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02774165",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.