Heather Kimmitt, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004350 Issued in MD

Practice address

6410 Rockledge Dr
Suite 402
Bethesda, MD 20817-1809

Phone

(301) 530-4800

Fax

(301) 530-1847

NPI assigned

Jan 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Kern Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1831494335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 402",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-530-4800",
            "fax_number": "301-530-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 402",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-530-4800",
            "fax_number": "301-530-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMITT",
        "first_name": "HEATHER",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KERN",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Boksuk Kim, COTA/L
• Woomi Kim
• Youngjoon Kim
• Catherine Anne Kimball-Eayrs, MD
• Donna Toby Kimmel, PH.D,
• Colton Kinderknecht
• King Therapeutic and Assessment Services
• Cynthia A King, MD
• Henry B King Jr., PHD, MSW
• Houng King, L.AC., O.M.D.

• Physician Assistant in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.