Kimberly D Kubick, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

875 Issued in AK

Practice address

3851 Piper St
Suite U340
Anchorage, AK 99508

Phone

(907) 562-0321

Fax

(907) 562-2683

NPI assigned

Oct 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/9026/brand/1/csg/1/fhir/r4
• Direct secure messaging: kimberly.kubick.1@9026.direct.athenahealth.com

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.

• Avante Medical Center, LLC

  • Nurse Practitioner
  • Anchorage, AK
  • NPI 1891924163

  Registered Nurse

  NPD (past)
• Katmai Oncology Group, LLC

  • Hematology & Oncology Physician
  • Eagle River, AK
  • NPI 1063150043
  NPD (past)
• Katmai Oncology Group, LLC

  • Medical Oncology Physician
  • Anchorage, AK
  • NPI 1821030206
  NPD (past)
• Lung and Sleep Clinic of Alaska Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Conshohocken, PA
  • NPI 1376530493
  NPD (past)
• Planned Parenthood of the Columbia/Willamette, Inc.

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1053311860
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1821171364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U340",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-562-0321",
            "fax_number": "907-562-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 PIPER ST",
            "address_2": "SUITE U340",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99508",
            "telephone_number": "907-562-0321",
            "fax_number": "907-562-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICK",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AK",
            "license": "875",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "24934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BODYMINDSOUL INC  - GROUP NPI",
            "identifier": "1124343678",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Kryvenia, PA-C
• Kirstin Krzyzewski, PHARMD
• KSP Health - Alaska LLC
• Alexander Kubacki, MD
• Scott Richard Kubacki
• Susan Marie Kubitz, RN
• Deana Kubosh
• Bunnarack Kuch, DO
• Chao Kue
• Eileen Kue

• Nurse Practitioner in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Nurse Practitioner in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.