Individual provider Active NPI

Alicia Kimball, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilford, NH
National Provider Identifier
1659116523
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
077414-23 Issued in NH
Practice address
401 Gilford Ave
Gilford, NH 03249-7500
Phone
(603) 556-4409
Fax
(833) 909-3971
NPI assigned
Jul 1, 2024
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 077414-23 NH Primary

Addresses

Primary practice location

401 Gilford Ave
Gilford, NH 03249-7500

Mailing address

107 Gilford Ave
Laconia, NH 03246-2834
Phone (207) 690-5697

Other practice location 1

107 Gilford Ave
Laconia, NH 03246-2834
Phone (207) 690-5697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250904001417 NH Practitioner - Nurse Practitioner 2365944915 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savida Health PCGroup PAC ID 4082809967, 89 clinicians

Practice addresses (Care Compare)

60 Rogers St
Suite 215
Manchester, NH 03103-5070
Phone (833) 952-0829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
077414-23NHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthfirst Family Care Center, Inc. Current Accepting new patients
Healthfirst Family Care Center, Inc. CurrentSince Jul 21, 2025 Accepting new patients
Savida Health, PC PastSince Apr 22, 2026 Accepting new patients

Locations

841 Central St
Franklin, NH 03235
Phone (603) 934-0177

17 Church St
Laconia, NH 03246
Phone (603) 366-1070

40 Beacon St E
Laconia, NH 03246
Phone (603) 542-1100

Interoperability endpoints

  • Direct secure messaging: alicia.kimball.pmhnp.1@28435.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1659116523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GILFORD AVE",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462834",
            "telephone_number": "207-690-5697",
            "fax_number": "207-466-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GILFORD AVE",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032497500",
            "telephone_number": "603-556-4409",
            "fax_number": "833-909-3971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Gilford Ave",
            "address_purpose": "LOCATION",
            "city": "Laconia",
            "state": "NH",
            "postal_code": "032462834",
            "country_code": "US",
            "telephone_number": "207-690-5697",
            "fax_number": "207-466-8753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "ALICIA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "077414-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilford, NH

Sources for this page

Verify at the official NPI Registry.