Aixa Nieves Kimes, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5012617 Issued in NC

Practice address

444 SW Center St
Faison, NC 28341-8820

Phone

(910) 267-0421

Fax

(910) 378-1746

NPI assigned

Dec 11, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goshen Medical Center Incorporated 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Goldsboro, NC, CCN 347331
• 3HC Home health agency, Goldsboro, NC, CCN 347104
• Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120
• Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akimes@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)
  • Kenansville, NC
  • NPI 1962124974

  NC

  Medicare reassignment NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Faison, NC
  • NPI 1154378933
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Rockingham, NC
  • NPI 1457181323
  NPD
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Mount Olive, NC
  • NPI 1043336415
  NPD (past)
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Goldsboro, NC
  • NPI 1194128991
  NPD (past)
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Mount Olive, NC
  • NPI 1700901287
  NPD (past)

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

• Duplin General Hospital Incorporated

  • General Acute Care Hospital
  • Kenansville, NC
  • NPI 1508832833

  Hospital

  Care Compare affiliation
• Home Health and Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Goldsboro, NC
  • NPI 1558396622

  Home health agency

  Care Compare affiliation
• Home Health and Hospice Care, Inc.

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1750337366
  Care Compare affiliation
• Tar Heel Health Care Services, LLC

  • Home Health Agency
  • Goldsboro, NC
  • NPI 1558391391
  Care Compare affiliation
• Wayne Memorial Hospital Inc

  • General Acute Care Hospital
  • Goldsboro, NC
  • NPI 1750353462

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1699313452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 SW CENTER ST",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283418820",
            "telephone_number": "910-267-0421",
            "fax_number": "919-378-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 SW CENTER ST",
            "city": "FAISON",
            "state": "NC",
            "postal_code": "283418820",
            "telephone_number": "910-267-0421",
            "fax_number": "910-378-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "AIXA",
        "middle_name": "NIEVES",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goshen Medical Center Incorporated
• Goshen Medical Center Incorporated
• Goshen Medical Center Incorporated
• Karen Lynn Halter
• Kristi Ann Kerr, M.D.
• Phillip Joseph Kohut, D.M.D.
• Sandra L. Krantz, F.N.P.
• Lori Hobbs Langston
• Lea Taylor Meeks
• Perla Mendo Lopez

• All providers in Faison, NC
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.