Individual provider Active NPI

Kimberly Babcock-Nobles, ARNP

  • Community Health Nurse Practitioner
  • Wilkesboro, NC
National Provider Identifier
1508810524
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
5008121 Issued in NC
Practice address
1600 River St
Wilkesboro, NC 28697-7630
Phone
(336) 646-7272
Fax
(833) 638-0044
NPI assigned
May 22, 2006
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X 5008121 NC Primary

Addresses

Primary practice location

1600 River St
Wilkesboro, NC 28697-7630

Mailing address

1600 River St
Wilkesboro, NC 28697-7630
Phone (336) 646-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20160406001438 NC Practitioner - Nurse Practitioner 5193746774 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ourhealth Physician Group, LLC CurrentSince Oct 22, 2023 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Nurse Practitioner CurrentSince Dec 16, 2015 Accepting new patients
Advanced Wound Systems LLC PastSince Jul 28, 2013 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

1900 W Park Dr
Ste B
North Wilkesboro, NC 28659
Phone (336) 903-6840

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

1600 River St
Wilkesboro, NC 28697
Phone (336) 646-7272

Interoperability endpoints

  • Direct secure messaging: kimberly.babcock-nobles.1@14940.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1508810524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 RIVER ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977630",
            "telephone_number": "336-646-7272",
            "fax_number": "833-638-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 RIVER ST",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286977630",
            "telephone_number": "336-646-7272",
            "fax_number": "833-638-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK-NOBLES",
        "first_name": "KIMBERLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "NC",
            "license": "5008121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.