Rebecca Kimpel, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME124273 Issued in FL

Practice address

15051 Shell Point Blvd
Fort Myers, FL 33908

Phone

(239) 466-1111

Fax

(239) 454-2279

NPI assigned

Aug 25, 2009

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1780817734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 SHELL POINT BLVD STE 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339081657",
            "telephone_number": "239-466-1111",
            "fax_number": "239-454-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15051 SHELL POINT BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-466-1111",
            "fax_number": "239-454-2279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 E End Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187110030",
            "country_code": "US",
            "telephone_number": "570-824-3521 x7538",
            "fax_number": "570-830-7012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMPEL",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD044110E",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME124273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Min Jee Kim, PHARMD
• Tyler Wayne Kimberlin, LMT
• Kimberly Regenesis
• Nia Kimbrough
• Kimmie's Recovery Zone Inc.
• Richard Kinder, MD
• Kinetics Medical Center LLC
• Deshy Kinfu, PT
• Alena R King
• Bryant Ray King, DMD

• General Practice Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.