Kymbella Healthcare

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

KYMBELLA HEALTHCARE

Practice address

6640 S US Highway 1
Port St Lucie, FL 34952-1421

Phone

(888) 596-2352

NPI assigned

Apr 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly G Anderson, DPN, APRN

Title

Owner

Phone

(772) 473-6824

Specialties & licenses 1

Addresses

Other names 1

• Kymbella Healthcare Doing business as

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1710674288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4089 42ND SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329671963",
            "telephone_number": "772-473-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6640 S US HIGHWAY 1",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349521421",
            "telephone_number": "888-596-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYMBELLA HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-473-6824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPN, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kymbella Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Marti Kusel, D.D.S.
• Conrad James Kusel Jr., D.D.S.
• Bruce A Kushner, D.M.D.
• Robert Matthew Kustarz, MS DC
• Victoria Kustarz, DC
• Kymbella Wellness Center & Exotics
• Lab Stop USA, Inc
• Kenneth Francis Labarge III, DC
• Gusti Labatte-Deneau, ARNP
• Amanda Lynn Labigang, ARNP

• Primary Care Nurse Practitioner in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.