Individual provider Active NPI

Kimberly Butler Vivaldi, FNP

  • Registered Nurse
  • Richmond, VA
National Provider Identifier
1518030758
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001119875 Issued in VA
Practice address
2401 Hartman Street
Building a
Richmond, VA 23223-2458
Phone
(804) 343-6555
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001119875 VA Primary
School Registered Nurse 163WS0200X 0001119875 VA
Family Nurse Practitioner 363LF0000X 0024119875 VA

Addresses

Primary practice location

2401 Hartman Street
Building a
Richmond, VA 23223-2458

Mailing address

10326 Rose Garden Path
Mechanicsville, VA 26113
Phone (804) 550-9546

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

State licenses

LicenseStateTypeSpecialty
0001119875VAMDSchool Registered Nurse
0024119875VAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1518030758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10326 ROSE GARDEN PATH",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "26113",
            "telephone_number": "804-550-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HARTMAN STREET",
            "address_2": "BUILDING A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232232458",
            "telephone_number": "804-343-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIVALDI",
        "first_name": "KIMBERLY",
        "middle_name": "BUTLER",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001119875",
            "primary": true
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "VA",
            "license": "0001119875",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024119875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.