Kimberly Jane Sinclair, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5013301 Issued in NC

Practice address

305 W College Ave
Shelby, NC 28152-8111

Phone

(704) 434-9686

NPI assigned

Jul 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberlys@goshenmedical.cloudcraftdirect.com

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.

• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933
  NPD
• Kidzcare Pediatrics, PC

  • Pediatrics Physician
  • Shelby, NC
  • NPI 1871114470
  NPD
• Kidzcare Pediatrics, PC

  • Pediatrics Physician
  • Hope Mills, NC
  • NPI 1679529051

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1649898966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W COLLEGE AVE",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281528111",
            "telephone_number": "704-434-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W COLLEGE AVE",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281528111",
            "telephone_number": "704-434-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "KIMBERLY",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5013301",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5013301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Bralley Shires, GNP-C
• Sydney Kate Short
• Surendra Pal Singh Sidhu, MD
• Latonyia Shunae Simmons, LCSWA
• Ayobami Jadesola Sina Odunsi, MD
• Crystal C Sipes, FNP-C
• Lydia Grace Skipper, LCMHCA
• Barbara Small, NURSE
• Sierra Smart, PHARMD
• Allyson Lane Smith

• Pediatric Nurse Practitioner in Shelby, NC
• Providers in Shelby, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.