Kimberley Jo Anderson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

M002134 Issued in AR

Practice address

5302 W Village Pkwy Ste 3
Rogers, AR 72758-8139

Phone

(479) 372-4560

Fax

(877) 461-6743

NPI assigned

Dec 28, 2006

Last updated

Nov 29, 2017By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Maternity Center of Northwest Arkansas LLC

  dba Birth Center of Northwest Arkansas

  • Birthing Clinic/Center
  • Rogers, AR
  • NPI 1710225099

  Advanced Practice Midwife

  NPD (past)
• Midwest Womens Healthcare Specialists LLC

  • Obstetrics & Gynecology Physician
  • Kansas City, MO
  • NPI 1346562097
  NPD (past)
• New Woman Obstetrics and Gynecology, LLC

  • Obstetrics & Gynecology Physician
  • Overland Park, KS
  • NPI 1699249219
  NPD (past)
• Theodore Barton

  • Advanced Practice Midwife
  • Soldotna, AK
  • NPI 1588852115
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1831255744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S PROMENADE BLVD STE 202",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588609",
            "telephone_number": "479-372-4560",
            "fax_number": "877-461-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 W VILLAGE PKWY STE 3",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588139",
            "telephone_number": "479-372-4560",
            "fax_number": "877-461-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KIMBERLEY",
        "middle_name": "JO",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AR",
            "license": "M002134",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "AR",
            "license": "M002134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222290799",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alternative Opportunities (Dayspring Behavioral Health of Rogers)
• Patrick Ameling, PT, DPT
• Amy White Adult Speech Therapy Services PLLC
• Collin Anderson
• Jarrod Anderson, M.S., LPC, LMFT
• Mary Catherine Esguerra Anderson, OTD
• Victoria Marie Anderson
• Anesthesia Services of Benton County PA
• Adam Angel, MD
• Angela L. Pinkston-Ayson, DPM

• Advanced Practice Midwife in Rogers, AR
• Providers in Rogers, AR by specialty
• Advanced Practice Midwife in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.