Kimberly Rakha, APNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11531-33 Issued in WI

Practice address

4650 S Howell Ave
Milwaukee, WI 53207-5908

Phone

(414) 376-5577

NPI assigned

Dec 29, 2021

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 names 1

• Kimberly Rajani Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1801556089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WISCONSIN AVE STE 204",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532075908",
            "telephone_number": "414-376-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKHA",
        "first_name": "KIMBERLY",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11531-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RAJANI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luckshi Rajendran, MD, FRCSC, FACS
• Dilip Rajesh, MD
• Srutha P Rajkumar, MD
• Piyush K. Rajurkar, M.D.
• Kari L. Rajzer-Wakeham, N.P.
• Tara A Rakowski-O'Neill, MD
• Kayla Mae Ralston, PHARMD
• Ram P. Bhala, M.D., S.C.
• Adhitya Ramamurthi, MD
• Anjalee Raman Bonagiri, DO

• Family Nurse Practitioner in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.