Kimberly Sauls LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C4705 Issued in MS

Legal business name

KIMBERLY SAULS LLC

Practice address

1839 Cooper Rd Ste D
Picayune, MS 39466-2836

Phone

(601) 749-9477

Fax

(601) 749-0605

NPI assigned

Jul 9, 2018

Last updated

Jan 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly C Sauls, LCSWNPI 1043232390

Title

Owner/Provider

Phone

(601) 749-9477

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly C Sauls, LCSW

  • Clinical Social Worker
  • Picayune, MS
  • NPI 1043232390
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1821584244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 COOPER RD STE D",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662836",
            "telephone_number": "601-749-9477",
            "fax_number": "601-749-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 COOPER RD STE D",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662836",
            "telephone_number": "601-749-9477",
            "fax_number": "601-749-0605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 W Canal St",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "39466",
            "country_code": "US",
            "telephone_number": "601-255-8900",
            "fax_number": "601-749-0605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIMBERLY SAULS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "601-749-9477",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C4705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BOARD OF EXAMINERS FOR SOCIAL WORKERS",
            "identifier": "C4705",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milton Michael Keen, PHARM.D.
• Christie Kellar, FNP-C
• Jordan Kayelin Kellar, IBCLC
• William J. Kenny, CP
• Stacy Jane Keyes, M.S.,SLP
• Danyelle Kimble
• Aurora B. King
• Jennifer Lynne Kittler, RN, FNP
• Amanda Koch, OTR/L
• Bryan James Krieger, NP

• Social Worker in Picayune, MS
• Providers in Picayune, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.