Kimberly Elaine Christian

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

325 4TH Ave Ste 2
South Charleston, WV 25303-1266

Phone

(304) 744-5085

NPI assigned

Feb 20, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1780449579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 4TH AVE STE 2",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031266",
            "telephone_number": "304-744-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 4TH AVE STE 2",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031266",
            "telephone_number": "304-744-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "KIMBERLY",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra Chisolm
• Aaron Lee Christian
• Allison Christian
• Cynthia Christian
• Jeremiah Christian
• Robin Denise Christian
• Tquyiah Clark-Stephens
• Andrew Clark
• Anitra Clark
• Calee Marie Clark

• All providers in South Charleston, WV
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.