Kimberly R Nelson

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

3037 Coral Strip Pkwy
Gulf Breeze, FL 32563-2773

Phone

(850) 572-0795

NPI assigned

Aug 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1558554477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 CORAL STRIP PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632773",
            "telephone_number": "850-572-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 CORAL STRIP PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325632773",
            "telephone_number": "850-572-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KIMBERLY",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Navarre Gardens, LLC
• Maryellen Neal, ARNP
• Randy Neil, MD
• Sunnie M. Neil, PTA
• Amanda Nelson
• Richard O Nenstiel, PAC
• Peyton Ray Neslein, RBT
• Gregory Nesvik, DPT, PT
• Christal H Nguyen, ATC
• Quynh Khoa Nguyen, P.A.

• Developmental Therapist in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.