Active NPI
Rita Kimball Nurse Practitioner in Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Wappingers Falls, NY
National Provider Identifier
1740672013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- RITA KIMBALL NURSE PRACTITIONER IN PSYCHIATRY PLLC
- Practice address
- 1285 Route 9
Suite 7B
Wappingers Falls, NY 12590-4993 - Phone
- (845) 632-2939
- Fax
- (845) 632-2940
- NPI assigned
- Feb 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rita Kimball, NP P
- Title
- Owner
- Phone
- (845) 705-4804
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1285 Route 9
Suite 7B
Wappingers Falls, NY 12590-4993
Mailing address
1285 Route 9
Suite 7B
Wappingers Falls, NY 12590-4993
Phone (845) 632-2939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wappingers Falls, NY
- NPI 1700092277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424736000000",
"number": "1740672013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1285 ROUTE 9",
"address_2": "SUITE 7B",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904993",
"telephone_number": "845-632-2939",
"fax_number": "845-632-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1285 ROUTE 9",
"address_2": "SUITE 7B",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904993",
"telephone_number": "845-632-2939",
"fax_number": "845-632-2940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RITA KIMBALL NURSE PRACTITIONER IN PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-02-24",
"last_updated": "2015-02-24",
"status": "A",
"authorized_official_last_name": "KIMBALL",
"authorized_official_first_name": "RITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-705-4804",
"authorized_official_credential": "NP P"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.