Active NPI
Kristen Nichole Kimball, MT-BC
- Music Therapist
- Bay City, MI
National Provider Identifier
1639666084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- Practice address
- 3054 Yorkshire Dr
Bay City, MI 48706-9244 - Phone
- (989) 992-3070
- NPI assigned
- Apr 20, 2018
- Last updated
- Apr 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | Primary |
Addresses
Primary practice location
3054 Yorkshire Dr
Bay City, MI 48706-9244
Mailing address
3950 N Thomas Rd
Freeland, MI 48623-8864
Phone (989) 397-4141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1639666084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 N THOMAS RD",
"city": "FREELAND",
"state": "MI",
"postal_code": "486238864",
"telephone_number": "989-397-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3054 YORKSHIRE DR",
"city": "BAY CITY",
"state": "MI",
"postal_code": "487069244",
"telephone_number": "989-992-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBALL",
"first_name": "KRISTEN",
"middle_name": "NICHOLE",
"credential": "MT-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-20",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.