Individual provider Active NPI

Aaron Kime, CRNP

  • Primary Care Nurse Practitioner
  • Coraopolis, PA
National Provider Identifier
1568486306
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP019272 Issued in PA
Practice address
1101 5TH Ave
Coraopolis, PA 15108-1577
Phone
(412) 269-0899
NPI assigned
Jul 26, 2006
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP019272 PA Primary

Addresses

Primary practice location

1101 5TH Ave
Coraopolis, PA 15108-1577

Mailing address

1101 5TH Ave
Coraopolis, PA 15108-1577
Phone (412) 269-0899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181219001617 PA Practitioner - Nurse Practitioner 8820984933 Reassigns benefits to 1 organization
I20240223001657 TX Practitioner - Nurse Practitioner 8820984933 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019272PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Feb 10, 2019 Accepting new patients
David C Wynecoop Memorial Clinic DHHS IHS Wellpinit Service Unit CurrentSince Jan 21, 2024 Accepting new patients
Sharon C. O'Rourke, O.D. LLC PastSince Jan 1, 2016 Accepting new patients

Locations

100 Emerson Ln
Ste 1507
Bridgeville, PA 15017
Phone (412) 506-0334

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

Interoperability endpoints

  • Direct secure messaging: aaron.kime.1@11878.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1568486306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 5TH AVE",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151081577",
            "telephone_number": "412-269-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 5TH AVE",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151081577",
            "telephone_number": "412-269-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIME",
        "first_name": "AARON",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP019272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coraopolis, PA

Sources for this page

Verify at the official NPI Registry.