Individual provider Active NPI

Kathryn A Kimpler, PA-C

  • Physician Assistant
  • Kingman, KS
National Provider Identifier
1720059876
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1500791 Issued in KS
Practice address
701 E a Ave
Kingman, KS 67068-1723
Phone
(620) 532-5145
Fax
(620) 532-2478
NPI assigned
Jan 27, 2006
Last updated
Oct 15, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1500791 KS Primary

Addresses

Primary practice location

701 E a Ave
Kingman, KS 67068-1723

Mailing address

701 E a Avenue
Kingman, KS 67068-1266
Phone (620) 532-5145

Other identifiers 1

IdentifierTypeStateIssuer
100420800BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1500791KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dan a Francisco MD PA Past Accepting new patients
Kingman Health Clinic, P.a. Past Accepting new patients
Galichia Medical Group, P.a. Past Accepting new patients
Kingman Health Clinic, P.a. Past Accepting new patients
Hutchinson Regional Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathryn.kimpler.p1@direct.dafvmed.nextgenshare.com

Organizations & group practices 5

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1720059876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E A AVENUE",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681266",
            "telephone_number": "620-532-5145",
            "fax_number": "620-532-2478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E A AVE",
            "city": "KINGMAN",
            "state": "KS",
            "postal_code": "670681723",
            "telephone_number": "620-532-5145",
            "fax_number": "620-532-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMPLER",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1500791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100420800B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.