Kymberly Lynn Stone

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

11592 Highway 488
Walnut Grove, MS 39189-5202

Phone

(601) 562-5746

NPI assigned

Apr 22, 2021

Last updated

Apr 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1861074668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11592 HIGHWAY 488",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391895202",
            "telephone_number": "601-562-5746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11592 HIGHWAY 488",
            "city": "WALNUT GROVE",
            "state": "MS",
            "postal_code": "391895202",
            "telephone_number": "601-562-5746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "KYMBERLY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "801785532",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "endpointDescription": "Physical Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "11592 Highway 488",
            "city": "Walnut Grove",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391895202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James W. Lock, MD
• Marshall Devolopmental Therapy Services Inc
• Neshoba County General Hospital (Walnut Grove Medical Associates)
• William Douglas Perry, MD
• Rodney L Moore (Moore's Pharmacy)

• Attendant Care Provider in Walnut Grove, MS
• Providers in Walnut Grove, MS by specialty
• Attendant Care Provider in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.