Individual provider Active NPI

Kimara Kimbel Young-Murray

  • Developmental Therapist
  • Palm Bay, FL
National Provider Identifier
1760743678
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
104415 Issued in NY
Practice address
1300 Heide Ave NW
Palm Bay, FL 32907-1052
Phone
(570) 242-9877
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 104415 NY Primary

Addresses

Primary practice location

1300 Heide Ave NW
Palm Bay, FL 32907-1052

Mailing address

234 Etna St
Brooklyn, NY 11208-1418
Phone (570) 242-9877

Other practice location 1

234 Etna St
Brooklyn, NY 11208-1418
Phone (570) 242-9877

Other identifiers 1

IdentifierTypeStateIssuer
252Y00000XMedicaidNY

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

LicenseStateTypeSpecialty
104415NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1760743678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ETNA ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112081418",
            "telephone_number": "570-242-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HEIDE AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071052",
            "telephone_number": "570-242-9877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Etna St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112081418",
            "country_code": "US",
            "telephone_number": "570-242-9877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG-MURRAY",
        "first_name": "KIMARA",
        "middle_name": "KIMBEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NY",
            "license": "104415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252Y00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2026; 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.