Individual provider Active NPI

Kimberly Lee Miner, FNP

  • Family Nurse Practitioner
  • Arlington, MA
National Provider Identifier
1821567801
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2294610 Issued in MA
Practice address
29 Massachusetts Ave
Arlington, MA 02474-8602
Phone
(781) 643-4507
Fax
(781) 646-6151
NPI assigned
Nov 19, 2018
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2294610 MA Primary

Addresses

Primary practice location

29 Massachusetts Ave
Arlington, MA 02474-8602

Mailing address

29 Massachusetts Ave
Arlington, MA 02474-8602
Phone (781) 643-4507

Other names 1

  • Miss Kimberly Lee Carpenter Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190311001985 MA Practitioner - Nurse Practitioner 1658610589 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lahey Clinic IncGroup PAC ID 2264336528, 1,381 clinicians
Massachusetts Acute Care Specialists PCGroup PAC ID 9234303082, 43 clinicians

Practice addresses (Care Compare)

29 Mall Rd
Burlington, MA 01805-0001

41 Mall Rd
Burlington, MA 01805-0001
Phone (781) 744-8771

585 Lebanon St
Melrose, MA 02176-3225
Phone (781) 979-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc CurrentSince Nov 1, 2024 Accepting new patients
Winchester Physician Associates, Inc CurrentSince Jan 26, 2019 Accepting new patients
Massachusetts Acute Care Specialists PC CurrentSince Feb 1, 2020 Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Jun 14, 2024 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients

Locations

29 Massachusetts Ave
Arlington, MA 02474
Phone (617) 484-9029

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8085

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

Interoperability endpoints

  • Direct secure messaging: kminer28799@tuftsmedicine.direct-ci.com
  • Direct secure messaging: miner.kimberly.nsmc@direct.partners.masshiway.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1821567801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748602",
            "telephone_number": "781-643-4507",
            "fax_number": "781-646-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MASSACHUSETTS AVE",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024748602",
            "telephone_number": "781-643-4507",
            "fax_number": "781-646-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINER",
        "first_name": "KIMBERLY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2294610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CARPENTER",
            "middle_name": "LEE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, MA

Sources for this page

Verify at the official NPI Registry.