Kimberly Nicole Edelstein, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

120 Bellview Ave
Winchester, VA 22601-3142

Phone

(540) 542-0200

NPI assigned

May 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1649836735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 JOHN BARTON PAYNE RD",
            "city": "MARSHALL",
            "state": "VA",
            "postal_code": "201152331",
            "telephone_number": "847-691-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BELLVIEW AVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226013142",
            "telephone_number": "540-542-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Grafton Ln",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "VA",
            "postal_code": "226112577",
            "country_code": "US",
            "telephone_number": "888-955-5204 x7294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Mae Dyche
• Shawn Eakins
• Tammy M Earhart, PA-C
• James P Earls, MD
• Wendy Renee Easter, FNP
• Melinda Jo Edger, MSN,RN,FNP-BC,CWOCN
• Katharine Edgin
• Jessica D Edwards, M.D.
• Terrance D Edwards
• Egoworkz

• Behavior Analyst in Winchester, VA
• Providers in Winchester, VA by specialty
• Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.