Individual provider Active NPI

Kimberly Kay Hamby, APRN, FNP-C

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1659916708
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11003821 Issued in FL
Practice address
5712 21St Ave W
Bradenton, FL 34209-5606
Phone
(941) 795-0105
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11003821 FL Primary
Registered Nurse 163W00000X 9206237 FL

Addresses

Primary practice location

5712 21St Ave W
Bradenton, FL 34209-5606

Mailing address

117 Tiger Lilly Dr
Parrish, FL 34219-9118
Phone (407) 766-0727

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Yes Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210507001258 FL Practitioner - Nurse Practitioner 7810306636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors at Home Tri CountyGroup PAC ID 2567773849, 14 clinicians

Practice addresses (Care Compare)

11954 Narcoossee Rd
Orando, FL 32832-6998
Phone (800) 925-1840

Hospital & facility affiliations

  • Residential Home Health of WC FL Home health agency, Palmetto, FL, CCN 103172
  • Aveanna Home Health Home health agency, Bradenton, FL, CCN 109108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9206237FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors at Home Tri County CurrentSince Apr 20, 2021 Accepting new patients
Cortes Family Physicians, P.a. PastSince Nov 17, 2019 Accepting new patients

Locations

11954 Narcoossee Rd
Ste 2504
Orlando, FL 32832
Phone (800) 925-1840

11954 Narcoossee Rd
Ste 2
Orlando, FL 32832
Phone (407) 335-3549

1417 Hamlin Ave
Unit F
Saint Cloud, FL 34771
Phone (800) 925-1840

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1659916708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 TIGER LILLY DR",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342199118",
            "telephone_number": "407-766-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5712 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095606",
            "telephone_number": "941-795-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBY",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003821",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9206237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Yes",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5712 21st Ave W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342095606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.