Denise Kimple

Primary specialty

HomemakerTaxonomy code 376J00000X

License

32005166 Issued in MS

Practice address

931 Highway 80 W
Jackson, MS 39204-3912

Phone

(601) 354-7866

Fax

(601) 354-6866

NPI assigned

Jun 27, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• LHC Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MS
  • NPI 1932570454
  NPD
• LHC Seniors Association

  • Homemaker
  • Clinton, MS
  • NPI 1912390865
  NPD

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

{
    "created_epoch": "1277596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1578874335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 HIGHWAY 18 W",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392099604",
            "telephone_number": "601-354-7866",
            "fax_number": "601-354-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HIGHWAY 80 W",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043912",
            "telephone_number": "601-354-7866",
            "fax_number": "601-354-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPLE",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-27",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MS",
            "license": "32005166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06979709",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Joy Kimball
• Cordelia Kimble, SOCIAL WORKER INTERN
• Ray V Kimble, MD
• Thelma Kimble, PCMHT
• June G. Kimbrough, FNP
• Bryce Douglas Kincaid, FNP
• Marci Lynn Kinchen, CPSSP
• Margaret Allyson King-Cagle, LCSW
• Ashley Early King-Profit, PH.D.
• Billie King, DC

• All providers in Jackson, MS
• Homemaker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.