Kimberly Offhaus, ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN9168499 Issued in FL

Practice address

100 Veterans Way
Eglin AFB, FL 32542-1038

Phone

(850) 609-2600

NPI assigned

Oct 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1609204858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8724 BROWN PELICAN CIR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663626",
            "telephone_number": "352-408-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VETERANS WAY",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421038",
            "telephone_number": "850-609-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432071045",
            "country_code": "US",
            "telephone_number": "614-445-8131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1430 S High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432071045",
            "country_code": "US",
            "telephone_number": "614-445-8131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Pine Ave",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "14301",
            "country_code": "US",
            "telephone_number": "716-505-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 Willis Ave",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321142810",
            "country_code": "US",
            "telephone_number": "800-539-4228",
            "fax_number": "386-236-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OFFHAUS",
        "first_name": "KIMBERLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-25",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9168499",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9168499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106490300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Nordgulen, OTR/L, C4T
• Dennis A Nutter Jr., MD
• Erin O'Connor, DPT
• Thomas J O'Connor, DMD
• Elise Marie Ocelnik, PHD
• Brady Todd Olsen, DO
• Kyle Olsen
• Kristin Osborne, CNM, WHNP
• Michael C Ott, MD
• Anthony Lloyd Overfield, MD

• Psychiatric/Mental Health Nurse Practitioner in Eglin AFB, FL
• Providers in Eglin AFB, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.