Individual provider Active NPI

Kimberlee Rene'E Adams, CRNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, DE
National Provider Identifier
1831257765
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ00093200 Issued in NJ
Practice address
Done
200 Continental Drive Suite 401
Newark, DE 19713-4334
Phone
(415) 735-5804
NPI assigned
Dec 4, 2006
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12.013106 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029661 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190025 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP500016766 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00093200 NJ Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 26NJ00093200 NJ
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X L8-0010577 DE

Addresses

Primary practice location

Done
200 Continental Drive Suite 401
Newark, DE 19713-4334

Mailing address

309 Fellowship Rd Ste 200
Mount Laurel, NJ 08054-1234
Phone (856) 204-4886

Other practice location 1

Headway New Jersey Behavioral Health P.C.
221 River Street 9th Floor
Hoboken, NJ 07030
Phone (646) 453-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150409000318 PA Practitioner - Nurse Practitioner 0547588253 Reassigns benefits to 1 organization
I20171221000064 NJ Practitioner - Nurse Practitioner 0547588253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 4082089461, 64 clinicians

Practice addresses (Care Compare)

4203 Union Deposit Rd
Suite 1098
Harrisburg, PA 17111-2802
Phone (415) 360-3348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010577DEMDBehavioral Neurology & Neuropsychiatry Physician
12.013106CTMDPsychiatric/Mental Health Nurse Practitioner
NP500016766DCMDPsychiatric/Mental Health Nurse Practitioner
0024190025VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Medical, P.C. CurrentSince Nov 1, 2024 Accepting new patients
Lotus Clinics PC CurrentSince Oct 1, 2017 Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

5045 Route 130
Ste J
Delran, NJ 08075
Phone (856) 461-1414

40 Fuld St
Ste 307
Trenton, NJ 08638
Phone (609) 278-9700

515 S Broad St
Trenton, NJ 08611
Phone (609) 392-6950

4203 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 601-7765

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1831257765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 FELLOWSHIP RD STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541234",
            "telephone_number": "856-204-4886",
            "fax_number": "215-639-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DONE",
            "address_2": "200 CONTINENTAL DRIVE SUITE 401",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134334",
            "telephone_number": "415-735-5804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Headway New Jersey Behavioral Health P.C.",
            "address_2": "221 River Street 9th Floor",
            "address_purpose": "LOCATION",
            "city": "Hoboken",
            "state": "NJ",
            "postal_code": "07030",
            "country_code": "US",
            "telephone_number": "646-453-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "KIMBERLEE",
        "middle_name": "RENE'E",
        "name_prefix": "Ms.",
        "credential": "CRNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.013106",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029661",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190025",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP500016766",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00093200",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NJ",
            "license": "26NJ00093200",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "DE",
            "license": "L8-0010577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.