Individual provider Active NPI

Kimberly Truver, PA

  • Physician Assistant
  • Jamestown, NY
National Provider Identifier
1770372534
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
033623-01 Issued in NY
Practice address
816 Fairmount Ave
Jamestown, NY 14701-2545
Phone
(716) 664-2589
Fax
(716) 483-3050
NPI assigned
May 6, 2025
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 033623-01 NY Primary

Addresses

Primary practice location

816 Fairmount Ave
Jamestown, NY 14701-2545

Mailing address

816 Fairmount Ave
Jamestown, NY 14701-2545
Phone (716) 664-2589

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
033623-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Pediatric Associates, LLP CurrentSince May 11, 2025 Accepting new patients

Locations

816 Fairmount Ave
Jamestown, NY 14701
Phone (716) 664-2589

Interoperability endpoints

  • Direct secure messaging: ktruver@jamestownpediatrics.medentdirect.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, 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": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1770372534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012545",
            "telephone_number": "716-664-2589",
            "fax_number": "716-483-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 FAIRMOUNT AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012545",
            "telephone_number": "716-664-2589",
            "fax_number": "716-483-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUVER",
        "first_name": "KIMBERLY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033623-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.