Kimberly Donckers, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

701 Wiltseys Mill Rd
Hammonton, NJ 08037-2650

Phone

(856) 244-1092

NPI assigned

Apr 16, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Holistic Serene Healing LLC

  • Massage Therapist
  • Hammonton, NJ
  • NPI 1629735980
  NPD Authorized official

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1528649928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WILTSEYS MILL RD STE 105",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372650",
            "telephone_number": "856-244-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WILTSEYS MILL RD",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372650",
            "telephone_number": "856-244-1092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Tilton Rd",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "NJ",
            "postal_code": "082251877",
            "country_code": "US",
            "telephone_number": "609-200-5087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONCKERS",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Soap",
            "affiliation": "N",
            "address_1": "701 Wiltseys Mill Rd",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080372650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dara Digerolamo, BCBA
• Gabriella Digirolamo, L.AC.
• Tracy Lynn Dill, APN
• Joshua Dillon, LSW
• Elyann H Doebler, D.P.M.
• Srilalitha Donepudi, M.D.
• Cindy Marlene Dozier
• Ronald Draft
• Barbara Dubois
• Ronetta Octavia Dudley

• Massage Therapist in Hammonton, NJ
• Providers in Hammonton, NJ by specialty
• Massage Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.