Amy Kimberlain, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

ND4575 Issued in FL

Practice address

13101 S Dixie Hwy Ste 420
Pinecrest, FL 33156-6530

Phone

(786) 204-4203

Fax

(786) 576-0404

NPI assigned

Feb 20, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

98.99 of 100Reported as apm

Quality

81.94

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: amy12198@cerner.directbaptisthealth.net

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1609291194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198054",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848054",
            "telephone_number": "786-204-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 S DIXIE HWY STE 420",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566530",
            "telephone_number": "786-204-4203",
            "fax_number": "786-576-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLAIN",
        "first_name": "AMY",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND4575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AMY12198@cerner.directbaptisthealth.net",
            "affiliation": "N",
            "address_1": "13101 S Dixie Hwy Ste 420",
            "city": "Pinecrest",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331566530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darian Johnston
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• Thamousca Junis-Florian, LMHC, IMH-E
• Kenward and Mayoral Dentistry Partnership
• Kevin B. Fox
• Narendra M Kini, M.D.
• Ekaterina Kotova, PHD
• Rachel Samara Lapides, LMFT
• Erika Lara, MD
• Diana Farren Lee, LMFT

• Registered Dietitian in Pinecrest, FL
• Providers in Pinecrest, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.