Kimberlee Mansfield, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

61221343 Issued in WA

Practice address

15217 Main St Ste 103
Mill Creek, WA 98012-9004

Phone

(781) 249-0094

NPI assigned

Feb 9, 2022

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

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": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1831843622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 236TH ST SW APT E306",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980434311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15217 MAIN ST STE 103",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129004",
            "telephone_number": "781-249-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "KIMBERLEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "61221343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary James Maguire, MSPT
• Sarah Youssef Makari
• Joy Makdisi, MD
• Navid David Malakouti, M.D.
• Michael Stephen Mallahan, AU.D.
• Jenny Lynn Mapes, L.M.T.
• Shane D Marquardt
• Adriane Meryl Martin
• Evan Thomas Martina, DPT
• Densey Matthew

• Nurse Practitioner in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.