Kimber Leigh Eddy

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

APRN.CNP.0029579 Issued in OH

Practice address

58 16TH St #500
Wheeling, WV 26003

Phone

(304) 242-7751

NPI assigned

Aug 18, 2021

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

Other names 1

• Kimber Leigh Boord Former name

Medicare fee-for-service enrollment

Enrolled in OH, WV2 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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates, IncGroup PAC ID 3577650076, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
• Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kboord247203@direct.wvuhsdirect.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/80a80d81-3c72-4157-aef6-3c0ada81718a/

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.

• Nephrology Associates, Inc

  • Nephrology Physician
  • Wheeling, WV
  • NPI 1457430134

  OH

  Medicare reassignment Care Compare group NPD
• Glorioso General Practice, Inc.

  • Family Medicine Physician
  • Saint Clairsville, OH
  • NPI 1649422510
  NPD

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

• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Wetzel County Hospital, Inc.

  • Rural Acute Care Hospital
  • New Martinsville, WV
  • NPI 1376175240
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1609542745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 16TH ST #500",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "740-632-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 16TH ST #500",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-242-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY",
        "first_name": "KIMBER",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "APRN.CNP.0029579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBER",
            "last_name": "BOORD",
            "middle_name": "LEIGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kassie Ebbert
• Stephanie Ebbert
• Emily J Eberle, PT, DPT
• Kaitlin Eckman
• Jill Eddy, LGSW
• Stephen Derrick Eddy, MD
• Timothy Eddy
• Edward K. Chiu, MD, Inc
• Mandisa Juanita Carman Edwards
• Maria Hazoor Elahi, M.D.

• Acute Care Nurse Practitioner in Wheeling, WV
• Providers in Wheeling, WV by specialty
• Acute Care Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.