Individual provider Active NPI

Kimberly Emerick, IBCLC

  • Family Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1750960241
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012006 Issued in DE
Practice address
18068 Coastal Hwy
Lewes, DE 19958-4901
Phone
(302) 567-1500
NPI assigned
Apr 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 163WL0100X L-301793 DE
Family Nurse Practitioner 363LF0000X LG-0012006 DE Primary

Addresses

Primary practice location

18068 Coastal Hwy
Lewes, DE 19958-4901

Mailing address

22471 Ocala Way
Lewes, DE 19958-2672
Phone (732) 239-8905

Other practice location 1

22471 Ocala Way
Lewes, DE 19958-2672
Phone (732) 239-8905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20230125000700 DE Practitioner - Nurse Practitioner 8527439835 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L-301793DEMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Aspira Health Single Specialty CurrentSince Oct 8, 2022 Accepting new patients

Locations

18068 Coastal Hwy
Lewes, DE 19958
Phone (302) 567-1500

Interoperability endpoints

  • Direct secure messaging: kimberly.emerick.1@22424.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1750960241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22471 OCALA WAY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199582672",
            "telephone_number": "732-239-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18068 COASTAL HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584901",
            "telephone_number": "302-567-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22471 Ocala Way",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199582672",
            "country_code": "US",
            "telephone_number": "732-239-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMERICK",
        "first_name": "KIMBERLY",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "DE",
            "license": "L-301793",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.