Individual provider Active NPI

Barbara Lynn Edmunds-Kimrey, AGNP-BC

  • Adult Health Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1841662095
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
CNP-02788 Issued in NM
Practice address
8801 Horizon Blvd., Suite 260
United Health Care- Optum
Albuquerque, NM 87109
Phone
(505) 798-6248
Fax
(855) 758-0342
NPI assigned
Oct 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X CNP-02788 NM Primary
Gerontology Nurse Practitioner 363LG0600X CNP-02788 NM

Addresses

Primary practice location

8801 Horizon Blvd., Suite 260
United Health Care- Optum
Albuquerque, NM 87109

Mailing address

8801 Horizon Blvd., Suite 260
United Health Care- Optum
Albuquerque, NM 87109
Phone (505) 798-6248

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)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-02788NMMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1841662095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD., SUITE 260",
            "address_2": "UNITED HEALTH CARE- OPTUM",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-798-6248",
            "fax_number": "855-758-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 HORIZON BLVD., SUITE 260",
            "address_2": "UNITED HEALTH CARE- OPTUM",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-798-6248",
            "fax_number": "855-758-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS-KIMREY",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "AGNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-28",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NM",
            "license": "CNP-02788",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NM",
            "license": "CNP-02788",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.