Aude Kimbrew

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016148 Issued in NC

Practice address

8201 Arrowridge Blvd Ste 148
Charlotte, NC 28273-5865

Phone

(704) 408-8489

NPI assigned

Dec 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Carolinas Medical Center

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
  • NPI 1275774333
  Medicare reassignment NPD
• Carolinas Medical Center

  • Cardiovascular Disease Physician
  • Charlotte, NC
  • NPI 1578086187
  NPD
• Carolinas Medical Center

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1982710554
  NPD
• P&G Clinical Services PLLC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1871851113
  NPD (past)

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1780344457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 EXECUTIVE CENTER DR STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 ARROWRIDGE BLVD STE 148",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735865",
            "telephone_number": "704-408-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBREW",
        "first_name": "AUDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Kimble, LCSW
• Dawn Michelle Kimble
• Kira Kimble, CD
• Jamie Leigh Rembert Kimbrell, PHARMD
• Kasey Hannah Kimbrell, PTA
• Shannon Marie Kimmel
• Lisa Yong Kimmerle, CRNA
• Kin Psychology, PLLC
• Makeya Kinard
• Shena Chantese Kinard

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.