Kimberly S. McClure, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.134216.MEDS-IV Issued in OH

Practice address

516 E Chillicothe Ave
Bellefontaine, OH 43311-1910

Phone

(937) 869-4518

NPI assigned

Oct 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1780194399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E CHILLICOTHE AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111910",
            "telephone_number": "937-869-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 E CHILLICOTHE AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111910",
            "telephone_number": "937-869-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "KIMBERLY",
        "middle_name": "S.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-09",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.134216.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BOARD OF NURSING",
            "identifier": "LPN.134216.MEDS-IV",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Jenalee Massey
• Neil Mast, PA-C
• Thelma J Downing Matthews
• Trevor Paul Maurer, M.D.
• Heather Lynn Maze-Smith, AU.D.
• Janet L McCormick, LISW
• Steven William McCornack, D.O.
• Marc C McCulloch, MD
• Alyssa McDaniel
• Lindsay McDaniel

• Licensed Practical Nurse in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.