Individual provider Active NPI

Kimberly Turner, PH.D., L.P.

  • Psychologist
  • Mankato, MN
National Provider Identifier
1740715697
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5704 Issued in MN
Practice address
103 N Broad St
Mankato, MN 56001-3519
Phone
(507) 345-7012
NPI assigned
Apr 28, 2017
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP5704 MN Primary

Addresses

Primary practice location

103 N Broad St
Mankato, MN 56001-3519

Mailing address

103 N Broad St
Mankato, MN 56001-3519
Phone (507) 345-7012

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP5704MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adult, Child & Family Services, LLC Psychologist CurrentSince Aug 21, 2017 Accepting new patients
Care Clinics, LLC Psychologist PastSince Apr 10, 2023 Accepting new patients

Locations

103 N Broad St
Mankato, MN 56001
Phone (507) 345-7012

Organizations & group practices 2

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": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1740715697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013519",
            "telephone_number": "507-345-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013519",
            "telephone_number": "507-345-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "KIMBERLY",
        "credential": "PH.D., L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.