Kimberly Ann Joerg, A.P.R.N.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0001921 Issued in CT

Practice address

538 Litchfield St
Suite G-02
Torrington, CT 06790-6669

Phone

(860) 489-5068

Fax

(860) 489-3725

NPI assigned

Jan 16, 2006

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)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Northwest Hills Pediatrics PC

  • Pediatric Adolescent Medicine Physician
  • Torrington, CT
  • NPI 1639220676

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1619956828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST STE G02",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-489-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST",
            "address_2": "SUITE G-02",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-489-5068",
            "fax_number": "860-489-3725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "444 Center St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "06040",
            "country_code": "US",
            "telephone_number": "860-646-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 Center St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "06040",
            "country_code": "US",
            "telephone_number": "860-646-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "153 Hazard Ave",
            "address_purpose": "LOCATION",
            "city": "Enfield",
            "state": "CT",
            "postal_code": "060824592",
            "country_code": "US",
            "telephone_number": "860-253-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOERG",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "001921",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "0001921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004242872",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James T Smith Jr DMD PC
• Silda Auriella James, MD
• Rengarajan Janakiraman, MD
• Andrea Mancini Janecko, LMSW
• Jeremy Edward Driscoll
• Camellia A Johnson, LCSW,MSW,BA
• Christine Johnson, RPH
• Makia Johnson, LCSW
• Michelle Marie Johnson, PHYSICAL THERAPIST
• Tammy Lee Johnson

• Pediatric Nurse Practitioner in Torrington, CT
• Providers in Torrington, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.