Kimberly Johnsen Bachman, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 3013 Issued in FL

Practice address

11020 Rca Center Dr
Suite 2010
Palm Beach Gardens, FL 33410-4277

Phone

(561) 881-8800

NPI assigned

May 22, 2009

Last updated

May 22, 2009By the provider in NPPES

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 FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13081/brand/1/csg/1/fhir/r4

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.

• Specialtycare Surgical Assist, LLC

  • Surgical Physician Assistant
  • Boynton Beach, FL
  • NPI 1740395748
  Medicare reassignment
• Tenet Florida Physician Services II, LLC

  • Orthopaedic Surgery Physician
  • West Palm Beach, FL
  • NPI 1912266420
  Medicare reassignment
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  Medicare reassignment
• Palm Beach Orthopaedic Institute PA

  • Orthopaedic Surgery Physician
  • Palm Beach Gardens, FL
  • NPI 1184796245
  NPD (past)
• Palm Beach Orthopaedic Institute PA

  • Non-Pharmacy Dispensing Site
  • West Palm Beach, FL
  • NPI 1568882363
  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242950400000",
    "number": "1720213549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DRIVE",
            "address_2": "SUITE 2010",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-881-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11020 RCA CENTER DR",
            "address_2": "SUITE 2010",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104277",
            "telephone_number": "561-881-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHMAN",
        "first_name": "KIMBERLY",
        "middle_name": "JOHNSEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 3013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanjay Awasthi, M.D.
• Simone Abigail Awe
• Samantha Axelrod
• Faris K Azar, MD
• B&D Chiropractic Partnership Inc. (The Chiropractic Studio)
• Back to Health of South Florida, LLC
• Lauren Anderson Badach, ARNP
• Jessica Joan Badal
• Felix L Badillo, MD
• Melville A. Badway, R.PH., CCP

• Physician Assistant in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.