Active NPI
Judy Ann Kimble
- Home Health Aide
- Zanesville, OH
National Provider Identifier
1720685829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 3020 Dillon School Dr
Zanesville, OH 43701-9628 - Phone
- (740) 995-3089
- NPI assigned
- Oct 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | |||
| Homemaker | 376J00000X | 6002309 | OH | |
| Homemaker | 376J00000X | OH | ||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
3020 Dillon School Dr
Zanesville, OH 43701-9628
Mailing address
3020 Dillon School Dr
Zanesville, OH 43701-9628
Phone (740) 995-3089
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002309 | Other | OH | OHIO |
| 6002309 | Medicaid | OH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6002309 | OH | MD | Homemaker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1720685829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 DILLON SCHOOL DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437019628",
"telephone_number": "740-995-3089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 DILLON SCHOOL DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437019628",
"telephone_number": "740-995-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBLE",
"first_name": "JUDY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-02",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": "6002309",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO",
"identifier": "6002309",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002309",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.