Kimberly J Carver

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CARV-Q12WA1 Issued in MS

Practice address

146 Highland Pkwy Ste C
Picayune, MS 39466-5576

Phone

(601) 358-9765

NPI assigned

Jan 16, 2019

Last updated

Jan 16, 2019By the provider in NPPES

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

Opted out of Medicare

Previously, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Thrive Health & Wellness LLC

  • Family Nurse Practitioner
  • Picayune, MS
  • NPI 1427786136
  NPD Authorized official

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1528532173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394700505",
            "telephone_number": "601-795-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 HIGHLAND PKWY STE C",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394665576",
            "telephone_number": "601-358-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "CARV-Q12WA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John H. Campbell, LCSW
• Caring Butterflies Homecare LLC
• Jose A Carlo, MD
• Mekdes Ericka Carpenter
• Raquel Nichole Carroll
• Tracy Anne Casey, M.C.D., CCC-SLP
• Daiwana D Certain
• Jennifer Champagne, NP-C
• Vincent E Cheshire, PT
• Child Abuse Education Council of Pearl River County, Inc.

• Family Medicine Physician in Picayune, MS
• Providers in Picayune, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.