Individual provider Active NPI

Kim Frances Whalen, ARNP

  • Family Nurse Practitioner
  • Brick, NJ
National Provider Identifier
1568407112
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NN93337 Issued in NJ
Practice address
970 Route 70
Brick, NJ 08724-3502
Phone
(732) 836-6011
NPI assigned
Jun 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NN93337 NJ Primary

Addresses

Primary practice location

970 Route 70
Brick, NJ 08724-3502

Mailing address

1510 Bay PLZ
Wall Township, NJ 07719-3907
Phone (732) 682-8188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20110203001061 NJ Practitioner - Nurse Practitioner 8527248871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Medicine LLCGroup PAC ID 2961419627, 2 clinicians

Practice addresses (Care Compare)

1255 Hwy 70 24S
Lakewood, NJ 08701-5900
Phone (732) 730-0020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NN93337NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Medicine LLC CurrentSince Sep 25, 2017 Accepting new patients
Jersey Shore Geriatrics LLC Past Accepting new patients

Locations

1255 Highway 70
Ste 24S
Lakewood, NJ 08701
Phone (732) 730-0020

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAHACA/Endpoint/DAHACA

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1568407112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 BAY PLZ",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193907",
            "telephone_number": "732-682-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 ROUTE 70",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243502",
            "telephone_number": "732-836-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHALEN",
        "first_name": "KIM",
        "middle_name": "FRANCES",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "NN93337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.