Active NPI
Kimberly A Kipp
- Registered Nurse
- Norwalk, CT
National Provider Identifier
1821602590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 82068
- Practice address
- 4 Birch St
Norwalk, CT 06851-5126 - Phone
- (203) 515-3293
- NPI assigned
- Sep 1, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 82068 | CT | Primary |
Addresses
Primary practice location
4 Birch St
Norwalk, CT 06851-5126
Mailing address
4 Birch St
Norwalk, CT 06851-5126
Phone (203) 515-3293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82068 | Other | CT | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Infusions, LLC | Registered Nurse | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Nurse
- Norwalk, CT
- NPI 1467051086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598918400000",
"number": "1821602590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BIRCH ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515126",
"telephone_number": "203-515-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BIRCH ST",
"city": "NORWALK",
"state": "CT",
"postal_code": "068515126",
"telephone_number": "203-515-3293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPP",
"first_name": "KIMBERLY",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2020-09-01",
"certification_date": "2020-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "82068",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "82068",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.