Individual provider Active NPI

Kiyomi Kimble, CNM

  • Midwife
  • Chicago, IL
National Provider Identifier
1851872741
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Practice address
1564 N Damen Ave Ste 207
Chicago, IL 60622-2102
Phone
(872) 253-4891
Fax
(872) 241-0328
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

1564 N Damen Ave Ste 207
Chicago, IL 60622-2102

Mailing address

921 E 54TH PL
Chicago, IL 60615-5011
Phone (773) 510-1794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Attune Menopause Care PLLC CurrentSince Jun 23, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince May 14, 2021 Accepting new patients
Erie Family Health Center Inc CurrentSince May 6, 2022 Accepting new patients
Erie Family Health Center, Inc CurrentSince May 6, 2022 Accepting new patients
The University of Chicago Medical Center CurrentSince May 14, 2021 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

1504 S Albany Ave
Chicago, IL 60623

1564 N Damen Ave
Ste 207
Chicago, IL 60622
Phone (202) 441-9683

1701 W Superior St
Chicago, IL 60622
Phone (312) 432-7392

1701 W Superior St
Fl 3
Chicago, IL 60622
Phone (312) 432-7381

Interoperability endpoints

  • Direct secure messaging: kkimble209393@uchospital.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1851872741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 E 54TH PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155011",
            "telephone_number": "773-510-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 N DAMEN AVE STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222102",
            "telephone_number": "872-253-4891",
            "fax_number": "872-241-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "KIYOMI",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.